Individual
MICHAEL J. HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27307 S 816 PR SE, KENNEWICK, WA 99338-7355
(509) 628-0025
Mailing address
27307 S 816 PR SE, KENNEWICK, WA 99338-7355
(509) 628-0025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP00001304
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112895
—
WA
05
—
287747
—
OR
Enumeration date
06/05/2006
Last updated
08/30/2012
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