Provider Demographics
NPI:1386963296
Name:HAMMELL, HILARY M (DO)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:M
Last Name:HAMMELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19685 MN-7
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55331
Mailing Address - Country:US
Mailing Address - Phone:952-993-2900
Mailing Address - Fax:952-993-2940
Practice Address - Street 1:19685 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-7516
Practice Address - Country:US
Practice Address - Phone:952-999-3290
Practice Address - Fax:952-993-2940
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN54125207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine