Individual
MR. RICK ALAN HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 543-6324
Mailing address
25637 FORD ST, ROSEVILLE, MI 48066-5046
(313) 543-6324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704221075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500E012730
BCBSM GROUP NUMBER
—
Enumeration date
06/23/2010
Last updated
03/23/2017
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