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NPI Code Detail

MEDICARE: MICHAEL A HAMILTON MD

MEDICARE: MICHAEL A HAMILTON MD
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 Physician01050063AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942205737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A HAMILTON MD
Provider Business Mailing Address
First Line : PO BOX 1329
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47402-1329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1520 S LIBERTY DR
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-5167
Country : US
Telephone Number : 812-676-4500
Fax Number : 812-676-4501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 12/15/2020

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Directions to “ MICHAEL A HAMILTON MD” Practice Location

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