Individual
TATE MICHAEL HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3232 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-2530
Mailing address
230 WOODWARD ST, ZEELAND, MI 49464-1036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005827
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
08/26/2024
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