Individual
DR. MICHEAL CHARLES HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
430 W 35TH ST, SUITE 2, DAVENPORT, IA 52806-5820
(563) 386-8885
Mailing address
430 W 35TH ST, SUITE 2, DAVENPORT, IA 52806-5820
(563) 386-8885
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147-000009
IL
231H00000X
Audiologist
Primary
170
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012799
—
IA
Enumeration date
02/18/2009
Last updated
02/18/2009
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