Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Hannis, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1336119106

Mark Hannis, MD is a Geriatric Medicine (Internal Medicine) Physician in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15101 Ford Rd
Dearborn, MI 48126-4611
Phone: (313) 582-2769
Fax: (313) 846-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 4301071197 (MI)

Record details

NPI number1336119106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

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