Individual
CRAIG STEPHEN HAMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 1650 LN, DELTA, CO 81416-8107
(952) 595-1242
(952) 935-2757
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1242
(952) 935-2757
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
32568
CO
2085R0202X
Diagnostic Radiology Physician
Primary
32568
CO
2085R0204X
Vascular & Interventional Radiology Physician
32568
CO
2085U0001X
Diagnostic Ultrasound Physician
32568
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01325687
—
CO
05
—
195679
—
AZ
01
—
483724787
CHAMPUS
—
01
—
841184495001
RMHP
CO
01
—
HAC2708
BLUE CROSS BLUE SHIELD
CO
05
—
XPY185580
—
CA
Enumeration date
09/01/2005
Last updated
03/12/2009
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