Provider Demographics
NPI:1730813130
Name:HAMMER, MICHAEL L (DNP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:HAMMER
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:L
Other - Last Name:HAMMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:MCVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58254-0506
Mailing Address - Country:US
Mailing Address - Phone:701-322-4328
Mailing Address - Fax:
Practice Address - Street 1:200 MAIN ST S
Practice Address - Street 2:
Practice Address - City:MCVILLE
Practice Address - State:ND
Practice Address - Zip Code:58254
Practice Address - Country:US
Practice Address - Phone:701-322-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR34980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily