MEDICARE: KARL EDWARD HAMMERMEISTER 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
1	207RC0000X	Cardiovascular Disease Physician	25783	CO

General Provider Information

NPI Number	:	1194909390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARL EDWARD HAMMERMEISTER M.D.

Provider Business Mailing Address
First Line	:	3000 EAST CEDAR
Second Line	:	#4 POLO PLACE
City	:	DENVER
State	:	CO
Zip	:	80209
Country	:	US
Telephone Number	:	303-778-8014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 EAST CEDAR
Second Line	:	#4 POLO PLACE
City	:	DENVER
State	:	CO
Zip	:	80209
Country	:	US
Telephone Number	:	303-778-8014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2007
Last Update Date	:	12/24/2007

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