Individual
DR. DOUGLAS HANNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4963
Mailing address
351 FISK ST # 2, PITTSBURGH, PA 15201-1750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT190079
PA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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