| Doctor Name: | DR. JOHN R HANNA |
| NPI Number: | 1073825634 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301096730 |
| Business Practice Address: | 2799 W Grand Blvd Detroit, MI - 482022608 |
| Business Phone Number: | 3139162600 |
| Business Fax Number: | |
| Mailing Address: | 28500 Northwestern Hwy, SOUTHFIELD |
| State: | MI |
| Postal Code: | 480341802 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2010 |
| NPI Last Update Date: | 07/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 4301096730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |