Individual
DONALD E HARTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
Mailing address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34518
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34336000
—
WI
01
—
34518
LICENSE
WI
Enumeration date
12/05/2005
Last updated
03/14/2014
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