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Individual

JOHN W HAMERSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2093 HEALTH DR SW, STE 200, WYOMING, MI 49519
(616) 459-3158
(616) 819-2222
Mailing address
1900 WEALTHY ST SE STE 150, GRAND RAPIDS, MI 49506-2969
(616) 459-3158
(616) 988-0071

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074575
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4949420
MI
Enumeration date
10/19/2005
Last updated
06/21/2016
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