Individual
STEFAN HANNEVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
644 SHREWSBURY COMMONS AVE, SHREWSBURY, PA 17361-1617
(304) 893-2295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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