Individual
MR. BRUCE RAY HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4235 BEACH ST, DELAVAN, WI 53115-3335
(630) 330-3815
(800) 513-1494
Mailing address
4235 BEACH ST, DELAVAN, WI 53115-3335
(630) 330-3815
(800) 513-1494
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
13-00012412
IL
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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