Individual
DR. MICHAEL ANTHONY HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3835 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6809
(260) 432-7339
Mailing address
1155 WESTOVER RD, FORT WAYNE, IN 46807-2561
(260) 456-8485
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
08001622
IN
111NN1001X
Nutrition Chiropractor
2301007361
MI
111NN1001X
Nutrition Chiropractor
Primary
3042
WI
111NS0005X
Sports Physician Chiropractor
3164
MN
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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