Individual
JUDD DOUGLAS HAMMEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1450 SHEBOYGAN ST, OSHKOSH, WI 54904-8814
(920) 235-4553
Mailing address
1450 SHEBOYGAN ST, OSHKOSH, WI 54904-8814
(920) 235-4553
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39981700
—
WI
Enumeration date
03/24/2006
Last updated
07/09/2007
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