Individual
DR. HABTAMU PETROS HANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301085018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440040
MEDICARE PLUS BLUE
MI
01
—
1022117
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
1103312132
BCBS/BCN
MI
01
—
200000002082
PHP FAMILYCARE
MI
05
—
4741313
—
MI
01
—
7125707
AETNA
MI
01
—
P00254914
RAILROAD MEDICARE
MI
Enumeration date
05/23/2006
Last updated
09/22/2009
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