Individual
DR. MICHAEL L HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 1ST AVE S, PERHAM, MN 56573
(218) 346-4775
(218) 346-5775
Mailing address
200 1ST AVE S, PERHAM, MN 56573
(218) 346-4775
(218) 346-5775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41131921X241
DELTA
—
01
—
611T5HA
BLUE CROSS BLUE SHIELD
—
01
—
9X9096
DENTAL SERVICE CORP
—
Enumeration date
08/05/2006
Last updated
07/08/2007
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