Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 16076 | MI |
NPI | 1033260286 |
---|---|
Provider Name | Dr. Eric D Hannapel |
First Address | Caledonia, MI 49316-7660 |
Second Address | Caledonia, MI 49316-7660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |