Individual
COLE HARTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 368-6224
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15104
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/09/2024
Last updated
10/30/2024
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