| 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 |
|---|---|
| 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 |
|---|---|
| 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 | () | Primary |
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