Individual
DR. TODD T HANNULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 N MAIN ST, STE 100A, MARION, VA 24354-4473
(276) 783-9752
(276) 783-7786
Mailing address
1616 N MAIN ST, STE 100A, MARION, VA 24354-4473
(276) 783-9752
(276) 783-7786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101252921
VA
207X00000X
Orthopaedic Surgery Physician
39663
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346357951
—
VA
05
—
32039700
—
WI
Enumeration date
08/23/2006
Last updated
02/02/2017
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