Individual
DR. MARK EDWARD HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 235-5503
(920) 235-5527
Mailing address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 235-5503
(920) 235-5527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001841
WI
Other
Enumeration date
03/20/2008
Last updated
09/20/2011
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