Individual
MARK J HANNEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
178467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0988730
—
OH
Enumeration date
12/15/2005
Last updated
06/12/2025
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