Individual
KYLE HAMMERMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2001
Mailing address
6795 GREENWOOD DR, BEAUMONT, TX 77706-4216
(269) 921-3267
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R1039
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301105051
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105051
MI
Other
Enumeration date
06/11/2014
Last updated
11/11/2018
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