Healthcare Provider Details

I. General information

NPI: 1477766848
Provider Name (Legal Business Name): KARIN HAMILTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N MAYFAIR RD # 200
WAUWATOSA WI
53226-4241
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-262-8835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number62367-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: