Hannibal, Mark Charles

Hannibal, Mark Charles is an individual health care provider with primary practice located at 1500 E Medical Center Dr 6Th Floor Mott Childrens Hospital, Ann Arbor MI 48109-4259. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Hannibal, Mark Charles can be contacted via phone (734) 936-4185.

Contact Information

Primary practice address
1500 E Medical Center Dr 6Th Floor Mott Childrens Hospital Ann Arbor MI 48109-4259
Phone: (734) 936-4185
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD00037850 Washington
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301099786 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301099786 Michigan

Profile Details

NPI number 1548350432
LBN Legal business name Hannibal, Mark Charles
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548350432 NPPES
Other 3199 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8246647 INTERNAL ID-MOTOR VEHICLE ID

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