David A Hanauer, MD | |
39901 Traditions Drive, Suite 240, Northville, MI 48158-4401 | |
(248) 305-4400 | |
Not Available |
Full Name | David A Hanauer |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 39901 Traditions Drive, Northville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245246289 | NPI | - | NPPES |
4675639 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301084702 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
---|---|
David A Hanauer, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | David A Hanauer, MD 39901 Traditions Drive, Suite 240, Northville, MI 48158-4401 Ph: (248) 305-4400 |
Kathleen Frances Delaney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 734-539-5080 | |
Heba Abu-isa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
Shannon Leigh Taut, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
Sarah Jane Laginess, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 249-354-4400 | |
Jill Alina Lancaster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-888-9000 | |
Latisha Nicole Carter-blanks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-888-9000 |