Individual
PAUL HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
71570
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679005201
—
WI
Enumeration date
04/02/2017
Last updated
07/01/2023
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