Individual
BRADLEY R HAMMERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
632 W MAIN ST, PERU, IN 46970-1747
(765) 473-4220
(765) 473-4223
Mailing address
632 W MAIN ST, PERU, IN 46970-1747
(765) 473-4220
(765) 473-4223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000906
IN
332B00000X
Durable Medical Equipment & Medical Supplies
07000906
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009854730
—
IN
Enumeration date
05/23/2006
Last updated
02/21/2011
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