Provider Demographics
NPI:1366639593
Name:HAMMEL, NATHANIA KATHLEEN (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHANIA
Middle Name:KATHLEEN
Last Name:HAMMEL
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1700 HIGHWAY 25 N
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-1930
Mailing Address - Country:US
Mailing Address - Phone:763-682-1313
Mailing Address - Fax:763-271-3807
Practice Address - Street 1:11091 JASON AVE NE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55301-4699
Practice Address - Country:US
Practice Address - Phone:763-684-8300
Practice Address - Fax:763-497-3168
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2015-07-29
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Provider Licenses
StateLicense IDTaxonomies
MN49736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine