Individual
YOUSSEF M HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1231 PINE GROVE AVE, STE 2F, PORT HURON, MI 48060-3500
(810) 982-5200
(810) 982-9776
Mailing address
1231 PINE GROVE AVE, SUITE 2F, PORT HURON, MI 48060-3500
(810) 982-5200
(810) 982-9776
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301061471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110G41039
BCBSM
MI
05
—
4397059
—
MI
01
—
P115104
BCN HANNA
MI
Enumeration date
06/21/2006
Last updated
10/22/2020
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