MARK HANNIS MD
Individual Provider (NPI-1)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1336119106- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 15101 FORD RD, DEARBORN, MI, 481264611
- Phone
- (313) 582-2769
- Fax
- (313) 846-7708
Specialties & Taxonomies
Internal Medicine, Geriatric Medicine
Primary License: MI #4301071197