Individual
JILL A HAMMERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
56129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134358096
—
WA
Enumeration date
07/13/2009
Last updated
03/26/2018
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