Individual
MICHAEL A HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4500
(812) 676-4501
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050063A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200277950
—
IN
Enumeration date
06/17/2005
Last updated
12/15/2020
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