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Individual
STEVEN C HAMMOND
Active
Individual
STEVEN C HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004244
STATE LICENSE #
MI
Enumeration date
09/06/2006
Last updated
04/18/2008
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