Organization
GULL CROSSING FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY KAY HAMMOND M.D. (PRESIDENT)
(269) 385-2784
Entity
Organization
Contact information
Practice address
3048 W MAIN ST, KALAMAZOO, MI 49006-2956
(269) 385-2784
(269) 385-2321
Mailing address
PO BOX 2588, PORTAGE, MI 49081-2588
(269) 385-2784
(269) 385-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301035723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803927361
BLUE CROSS
MI
05
—
103328861
—
MI
01
—
P208900780
BLUE CROSS
MI
Enumeration date
05/04/2007
Last updated
06/27/2008
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