Provider Demographics
NPI:1902907934
Name:HAMMES, WILLIAM JAMES (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:HAMMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 N CHESTNUT ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-3054
Mailing Address - Country:US
Mailing Address - Phone:952-448-2050
Mailing Address - Fax:952-448-2185
Practice Address - Street 1:3000 N CHESTNUT ST
Practice Address - Street 2:SUITE 120
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-3054
Practice Address - Country:US
Practice Address - Phone:952-448-2050
Practice Address - Fax:952-448-2185
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP17984OtherHEALTHPARTNERS PROVIDER I
MN0102093OtherMEDICA PROVIDER ID
MN9D287HAOtherMN BCBS PROVIDER NUMBER
MN0102093OtherMEDICA PROVIDER ID
MN08004097Medicare ID - Type Unspecified