Hannis, Mark

Hannis, Mark is an individual health care provider with primary practice located at 15101 Ford Rd , Dearborn MI 48126-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Hannis, Mark can be contacted via phone (313) 582-2769.

Contact Information

Primary practice address
15101 Ford Rd Dearborn MI 48126-4611
Phone: (313) 582-2769
Fax: (313) 846-7708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301071197 Michigan

Profile Details

NPI number 1336119106
LBN Legal business name Hannis, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers