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Individual

JOHN T HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1590 CRESTVIEW DR STE B, ASHLAND, OH 44805-3560
(419) 651-6880
(567) 241-7503
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055568
OH
207Q00000X
Family Medicine Physician
DR.0062503
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0687654
OH
Enumeration date
12/05/2005
Last updated
08/02/2019
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