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NPI Code Detail

MEDICARE: DR. MARK TRAVIS HEMMING M.D.

MEDICARE:  DR. MARK TRAVIS HEMMING  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
1207P00000XEmergency Medicine Physician36.138719IL
2207P00000XEmergency Medicine PhysicianA136928CA
3207P00000XEmergency Medicine Physician4301106819MI

General Provider Information

NPI Number : 1407110174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK TRAVIS HEMMING M.D.
Provider Business Mailing Address
First Line : 801 S GARFIELD AVE # 242
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3429
Country : US
Telephone Number : 734-834-2419
Fax Number :
Provider Business Practice Location Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2386
Country : US
Telephone Number : 231-947-0673
Fax Number : 801-740-2847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2012
Last Update Date : 01/02/2023

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Directions to “ DR. MARK TRAVIS HEMMING M.D.” Practice Location

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