Individual
MERLIN R. HAMRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 351, ANCHORAGE, AK 99508-4691
(907) 212-4824
Mailing address
3760 PIPER ST, SUITE 1060, ANCHORAGE, AK 99508-4665
(907) 212-6522
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
4301067128
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
6481
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439291010
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
05
—
MD0594
—
AK
01
—
MDG798
MEDICAID MD GROUP #
AK
01
—
MH067128
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
05/31/2006
Last updated
02/11/2013
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