# MICHAEL A. HARTMAN DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487193686
- **Authorized official:** DR. MICHAEL ALAN HARTMAN DPM (OWNER)
- **Authorized official phone:** (734) 455-3669

## Contact information

- **Practice address:** 12885 NORTHLINE RD, SOUTHGATE, MI 48195-1181
- **Practice address phone:** (734) 283-3777
- **Practice address fax:** (734) 324-2598
- **Mailing address:** 5226 GREEN RD, WEST BLOOMFIELD, MI 48323-2718
- **Mailing address phone:** (734) 455-3669
- **Mailing address fax:** (734) 455-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | MH001532 | MI | Yes |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/21/2017