Individual
JAN HANSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125066148
IL
2085R0202X
Diagnostic Radiology Physician
4301105132
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301105132
MI
Other
Enumeration date
06/02/2014
Last updated
07/28/2022
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