Individual
DR. KATHLEEN MARY HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
32754 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-3133
(248) 476-3280
Mailing address
32754 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-3133
(248) 476-3280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016631
MI
Other
Enumeration date
05/14/2007
Last updated
12/01/2008
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