Provider Demographics
NPI:1407846462
Name:HAMMER, DEBORAH L (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:L
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:HAMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11051 HALL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317
Mailing Address - Country:US
Mailing Address - Phone:586-726-6556
Mailing Address - Fax:586-726-4917
Practice Address - Street 1:11051 HALL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5735
Practice Address - Country:US
Practice Address - Phone:586-726-6556
Practice Address - Fax:586-726-4917
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068935207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
M00310005Medicare ID - Type Unspecified
H14130Medicare UPIN