MARK HANNIS

DEARBORN, MI
NPI1336119106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MI  4301071197)
Enumeration Date2006-01-25
Last Update Date2020-10-22
Business Address
MARK HANNIS MD
15101 FORD RD
DEARBORN, MI 48126-4611
Phone number: 313-582-2769
Mailing Address
MARK HANNIS MD
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1863
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