Individual
WARD P HAMLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01048197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058940JJ
MEDICARE PTAN
IN
01
—
200035326
RAILROAD MEDICARE
IN
05
—
200187200
—
IN
Enumeration date
07/13/2005
Last updated
07/30/2019
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