Individual
DR. MATTHEW R. HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
(608) 310-9922
(608) 442-8490
Mailing address
6749 HAMMERSLEY RD APT 5, MADISON, WI 53711-3177
(608) 278-8501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14318-040
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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