Individual
MR. KEITH E HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 N BRIDGE STREET, RM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Mailing address
711 N BRIDGE STREET, RM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24938 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30360800
—
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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