Individual
JOHN EDWARD HANICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11709 LORAIN AVE, FAMILY MEDICINE CENTER, CLEVELAND, OH 44111-5443
(216) 671-5006
(216) 671-5004
Mailing address
11709 LORAIN AVE, FAMILY MEDICINE CENTER, CLEVELAND, OH 44111-5443
(216) 671-5006
(216) 671-5004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079938H
OH
Other
Enumeration date
05/04/2006
Last updated
03/03/2008
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