Individual
DR. TERI LYNN HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
20867 MACK AVE, STE 7, GROSSE POINTE WOODS, MI 48236-1392
(313) 882-8070
(313) 882-8413
Mailing address
20867 MACK AVE, STE 7, GROSSE POINTE WOODS, MI 48236-1392
(313) 882-8070
(313) 882-8413
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
TH015883
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1258211835
BLUE CROSS
MI
01
—
201894790
TAX ID
MI
Enumeration date
07/08/2005
Last updated
12/17/2009
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