| Kenneth C Hanson Md Pc | |
|
802 W King St Suite Q Owosso MI 48867-2100 | |
| (989) 723-7619 | |
| (989) 723-0090 |
| Full Name | Kenneth C Hanson Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 802 W King St, Owosso, Michigan |
| Authorized Official Name and Position | Kenneth C Hanson (OWNER) |
| Authorized Official Contact | 9897237619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C Hanson Md Pc 802 W King St Suite Q Owosso MI 48867-2100 Ph: (989) 723-7619 | Kenneth C Hanson Md Pc 802 W King St Suite Q Owosso MI 48867-2100 Ph: (989) 723-7619 |
| NPI Number | 1881763753 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881763753 | NPI | - | NPPES |
| 1007800511 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301027519 (Michigan) | Primary |
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