Individual
MICHAEL R HAMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
524 COUNTY ROAD 34 EAST, DODGE CENTER, MN 55927
(920) 858-7427
(920) 830-6707
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004288
IA
225100000X
Physical Therapist
10443-024
WI
225100000X
Physical Therapist
Primary
6959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001286020
MEDICARE
WI
01
—
001986652
MEDICARE
WI
01
—
117378
SECURITY HEALTH PLAN
WI
05
—
40458900
—
WI
01
—
64-07697
MEDICA
WI
Enumeration date
07/28/2005
Last updated
03/03/2011
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