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Individual

DR. MICHAEL W HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
617 LAKEVIEW RD, SUITE C, CLEARWATER, FL 33756-3338
(727) 441-3724
(727) 442-2594
Mailing address
617 LAKEVIEW RD, SUITE C, CLEARWATER, FL 33756-3338
(727) 441-3724
(727) 442-2594

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME96132
FL

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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