DR. John Jacob Hannibal IV, M.D.

NPI #1003133729 in Buffalo, New York

Provider Information

NPI Number: 1003133729
Entity Type: Individual
Name: DR. John Jacob Hannibal IV, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 462 GRIDER ST
City: Buffalo
State: New York
ZIP Code: 14215-3021
Phone: (716) 898-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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