Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 16374-020 | WI |
NPI | 1083614515 |
---|---|
Provider Name | Dr. David Christian Hemmy |
First Address | Waukesha, WI 53186-1871 |
Second Address | Waukesha, WI 53186-1871 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 08/07/2007 |