Provider Demographics
NPI:1043480569
Name:HANN, CLAYTON S (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:S
Last Name:HANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-416-1082
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:929 W HIGHWAY 441
Practice Address - Street 2:SUITE 401
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3002
Practice Address - Country:US
Practice Address - Phone:352-751-0981
Practice Address - Fax:352-751-0984
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2022-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC153189207X00000X, 207X00000X
MI4301090653207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115027500Medicaid