Individual
DR. JOHN BRECKENRIDGE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 HANOVER ST, OWOSSO, MI 48867-4905
(989) 725-9490
Mailing address
1000 HANOVER ST, OWOSSO, MI 48867-4905
(989) 725-9490
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301027832
MI
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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