Individual
DR. CHARLES DAVID HANF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
(616) 252-7830
Mailing address
985 GEZON PKWY SW, WYOMING, MI 49509-9563
(616) 252-4655
(616) 252-0103
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
171021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
—
01
—
1922090554
CORP NPI
—
Enumeration date
07/26/2006
Last updated
09/09/2014
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