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Contact Information

CHARLES P HANNON, MD
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES P HANNON · (Male)

NPI # 1417339375
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2015
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 66592
  • MO License # 2021017680
  • MO Medicaid 200099727
Hospital affiliation(s)
  • ALTON MEMORIAL HOSPITAL - (Acute Care)
    ONE MEMORIAL DRIVE
    ALTON, IL 62002
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
  • BARNES-JEWISH WEST COUNTY HOSPITAL - (Acute Care)
    12634 OLIVE BOULEVARD
    CREVE COEUR, MO 63141
  • MEMORIAL HOSPITAL - (Acute Care)
    4500 MEMORIAL DRIVE
    BELLEVILLE, IL 62226
  • MISSOURI BAPTIST MEDICAL CENTER - (Acute Care)
    3015 N BALLAS RD
    TOWN AND COUNTRY, MO 63131
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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