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NPI Code Detail

MEDICARE: HANNAH BERENSON

MEDICARE:   HANNAH  BERENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PS0010XSports Medicine (Emergency Medicine) Physician22978842MI

General Provider Information

NPI Number : 1154278489
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH BERENSON
Provider Business Mailing Address
First Line : 110 S MADISON ST
Second Line :
City : ADRIAN
State : MI
Zip : 49221-2518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 S MADISON ST
Second Line :
City : ADRIAN
State : MI
Zip : 49221-2518
Country : US
Telephone Number : 517-265-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ HANNAH BERENSON ” Practice Location

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