Organization
HANNA MEDICAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKOLAS HANNA MD (OWNER)
(608) 208-8022
Entity
Organization
Contact information
Practice address
3207 LAURA LN STE 105, MIDDLETON, WI 53562-1428
(608) 203-8022
(608) 203-8041
Mailing address
3207 LAURA LN STE 105, MIDDLETON, WI 53562-1428
(608) 203-8022
(608) 203-8041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
01/16/2017
Last updated
11/08/2023
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