IndividualActive
Benjamin Hanisch, MD
NPI 1932364809 · Pediatrics Physician · Washington, DC
Provider details
- NPI number
- 1932364809
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 58043 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-5000
Approximate (ZIP-level) locationGet directions
Mailing address
720 W Lake St
Minneapolis, MN 55408-2963
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2014-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.