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Individual

DAVID ALAN HAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4320 10TH ST, MENOMINEE, MI 49858-1314
(906) 863-5585
(906) 863-8420
Mailing address
4320 10TH ST, MENOMINEE, MI 49858-1314
(906) 863-5585
(906) 863-8420

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001935
MI
213E00000X
Podiatrist
781025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001
WI
01
090003914
WEA PIN #
WI
01
DH001935
BC BS OF MI PIN #
MI
Enumeration date
08/21/2006
Last updated
07/09/2007
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