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Individual

BARBARA ANN HANNAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
25050 OUTER DR, LINCOLN PARK, MI 48146-1297
(313) 388-4247
(313) 388-4827
Mailing address
14184 LONGACRE ST, DETROIT, MI 48227-1357
(313) 388-4247
(313) 388-4827

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BH063985
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0827291
BLUE CROSS BLUE SHIELD MI
MI
05
4365322
MI
Enumeration date
06/20/2006
Last updated
02/28/2008
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