Individual
JUSTIN GABRIEL HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 WESTWOOD DR, WAUSAU, WI 54401
(715) 847-2558
(715) 847-2557
Mailing address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 847-2557
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
69359-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2012
Last updated
07/03/2018
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