Individual
PHILIP HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 MONROE AVE NW STE 140, GRAND RAPIDS, MI 49505-4609
(616) 458-9520
Mailing address
625 PROSPECT AVE SE, GRAND RAPIDS, MI 49503-5341
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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