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Madonna Hanalla, MD
Student in an Organized Health Care Education/Training Program in Pontiac, Michigan
NPI 1083358451

Madonna Hanalla is a Student in an Organized Health Care Education/Training Program based in Pontiac, MI. Madonna Hanalla practices in Pontiac, MI and has the professional credentials of MD. The NPI Number for Madonna Hanalla is 1083358451 and holds a License No. (Michigan).

The current practice location address for Madonna Hanalla is 50 N Perry St, Pontiac, MI and can be reached out via phone at 248-338-5392.

Location: 50 N Perry St, Pontiac, MI, 48342-2217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083358451
Provider Name
Madonna Hanalla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
50 N Perry St, Pontiac, MI, 48342-2217
Phone Number
248-338-5392
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 N Perry St
City
Pontiac
State
Michigan
Zip
48342-2217
Phone Number
248-338-5392
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Perry St
City
Pontiac
State
Michigan
Zip
48342-2217
Phone Number
248-338-5392
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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