Basic Information
| Provider Information | |||||||||
| NPI: | 1245725217 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMERSMA | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | PETER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4100 EMBASSY DR SE STE 400 | ||||||||
| Address2: | |||||||||
| City: | GRAND RAPIDS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 495462416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6169888220 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 ATKINSON DR | ||||||||
| Address2: | |||||||||
| City: | LUDINGTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494311906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2318432591 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2018 | ||||||||
| LastUpdateDate: | 06/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 4301115550 | MI | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.