Individual
DR. BRIAN F HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
301 TULSA TRL, HOPATCONG, NJ 07843-1238
(985) 516-4134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA0890200
NJ
207Q00000X
Family Medicine Physician
Primary
44970
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
06/18/2007
Last updated
06/28/2022
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