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Individual

TODD HAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20741
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/20/2006
Last updated
07/08/2007
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