Organization
WILLIAM D HANNA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DOMINIC HANNA MD (OWNER)
(586) 774-3780
Entity
Organization
Contact information
Practice address
25990 KELLY RD STE 4, ROSEVILLE, MI 48066-4483
(586) 774-3780
(586) 774-0098
Mailing address
25990 KELLY RD STE 4, ROSEVILLE, MI 48066-4483
(586) 774-3780
(586) 774-0098
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
WH045614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290E021730
BCBS PIN
MI
05
—
4816147
—
MI
01
—
DE2675
RAILROAD MEDICARE PIN
MI
Enumeration date
11/07/2007
Last updated
07/24/2025
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