Individual provider · Type 1 NPI
John R. Hanna, MD
Body Imaging Physician · Detroit, MI
NPI number
1073825634
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
28500 Northwestern Hwy
Southfield, MI 48034-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 4301096730 (MI) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1073825634
John R. Hanna, MD's National Provider Identifier is 1073825634, issued on Jul 11, 2010. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Detroit, MI. The record was last updated on Jul 11, 2010.