DR. Mark Edward Hannan, DDS

NPI #1548431398 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1548431398
Entity Type: Individual
Name: DR. Mark Edward Hannan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 20, 2008
Last Updated: Sep 20, 2011

Practice Location

Address: 450 N KOELLER ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-4111
Phone: (920) 235-5503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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