Individual
MICHAEL E HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 N MAIN ST, ENGLEWOOD, OH 45322-1326
(937) 836-1141
Mailing address
5 N MAIN ST, ENGLEWOOD, OH 45322-1326
(937) 836-1141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035922
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0399392
MEDICARE PTAN
—
Enumeration date
06/15/2005
Last updated
04/17/2013
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