Organization Name: | PAUL D HANKENSON DO PC |
NPI Number: | 1285824805 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL D HANKENSON (PHYSICIAN) |
Mailing Address: | 1501 Kyle Street Eaton Rapids |
State: | MI US |
Postal Code: | 48827 |
Phone Number: | 5176633344 |
Fax Number: | 5176631703 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 07/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |