Individual
MICHAEL W HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 500, KENNER, LA 70065-2489
(504) 412-1700
(504) 412-1701
Mailing address
1542 TULANE AVE, BOX T6-7, NEW ORLEANS, LA 70112-2865
(504) 568-4680
(504) 568-4466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
44712
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2007022052
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD.204132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205465107
—
MO
05
—
954693600
—
MN
Enumeration date
01/03/2006
Last updated
09/24/2010
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