| 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 |
|---|---|
| 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 |