Individual
DR. WILLIAM HARTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10200 W 105TH ST, OVERLAND PARK, KS 66212-5750
(913) 495-9600
Mailing address
12613 JUNIPER CIR, LEAWOOD, KS 66209-3128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0414954
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081040A
—
KS
01
—
1583891B
MEDICARE
MO
01
—
1583891C
MEDICARE
KS
Enumeration date
01/23/2006
Last updated
05/04/2009
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