Individual
TYLER JAMES HANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 213-3920
Mailing address
186 T ST, SALT LAKE CITY, UT 84103-4152
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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