James E. Hanlon Md, Plc | |
8145 Valleywood Ln Suite B Portage MI 49024-5296 | |
(269) 324-9162 | |
(269) 375-6078 |
Full Name | James E. Hanlon Md, Plc |
---|---|
Speciality | Internal Medicine |
Location | 8145 Valleywood Ln, Portage, Michigan |
Authorized Official Name and Position | James E Hanlon (OWNER) |
Authorized Official Contact | 2693756079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James E. Hanlon Md, Plc 8145 Valleywood Ln Suite B Portage MI 49024-5296 Ph: (269) 324-9162 | James E. Hanlon Md, Plc 8145 Valleywood Ln Suite B Portage MI 49024-5296 Ph: (269) 324-9162 |
NPI Number | 1306163100 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 05/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306163100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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