Individual
ANGELA MICHELLE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 N DIVISION ST, HESPERIA, MI 49421-5100
(231) 854-6415
(231) 854-6975
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006764
MI
Other
Enumeration date
09/10/2013
Last updated
03/30/2022
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