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NPI Code Detail

MEDICARE: DR. JAMIE HAMMERBECK M.D.

MEDICARE: DR. JAMIE HAMMERBECK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician61447MN

General Provider Information

NPI Number : 1891175949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE HAMMERBECK M.D.
Provider Business Mailing Address
First Line : 425 ELM ST N
Second Line :
City : SAUK CENTRE
State : MN
Zip : 56378-1010
Country : US
Telephone Number : 320-352-6591
Fax Number :
Provider Business Practice Location Address
First Line : 261 E BROADWAY ST
Second Line :
City : MONTICELLO
State : MN
Zip : 55362-9317
Country : US
Telephone Number : 763-272-1103
Fax Number : 763-272-1100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2015
Last Update Date : 10/31/2025

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