Individual
MATTHEW C KAMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
33
ND
213E00000X
Podiatrist
544
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12927
NDBS #
ND
01
—
13015
NDBS #
ND
01
—
172027
UCARE #
ND
05
—
18310
—
ND
01
—
1H734KA
MNBS #
MN
01
—
1H742KA
MNBS #
ND
01
—
1H771KA
MNBS #
ND
01
—
2700155
MEDICA #
ND
05
—
313018500
—
ND
01
—
680151
AMERICA'S PPO/ARAZ #
ND
01
—
DA9051015612
PREFERRED ONE #
ND
01
—
HP25786
HEALTHPARTNERS #
ND
01
—
ND200106
LHS #
ND
01
—
T83418
UPIN #
—
Enumeration date
06/18/2006
Last updated
09/27/2011
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