Healthcare Provider Details

I. General information

NPI: 1831284215
Provider Name (Legal Business Name): PAUL HEMMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVENUE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 WISCONSIN AVE AMERICA BUILDING DELTA MEDICAL HOME
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0196
  • Fax: 301-400-0611
Mailing address:
  • Phone: 301-295-0196
  • Fax: 300-400-0611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number30405
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: