Individual
ANDREA HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 845-4237
(248) 693-3683
Mailing address
6002 WESTGATE BLVD STE 230, TACOMA, WA 98406-2572
(253) 761-2244
(253) 761-1040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101027793
MI
207V00000X
Obstetrics & Gynecology Physician
OP61292581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211802
—
WA
Enumeration date
07/07/2016
Last updated
04/03/2024
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