Individual
KENNETH W HAMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MALTON ST, STE 4, NEGAUNEE, MI 49866-2001
(906) 475-7838
(906) 486-6898
Mailing address
100 MALTON ST, STE 4, NEGAUNEE, MI 49866-2001
(906) 475-7838
(906) 486-6898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101014669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KH014669
BCBS LICENSE
MI
01
—
P00203790
RRMEDICARE
MI
Enumeration date
12/14/2006
Last updated
07/08/2007
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