Individual
TRISTAN LAYTON HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 27TH ST, SUITE 2, NORFOLK, NE 68701-4401
(402) 844-8291
(402) 844-8292
Mailing address
301 N 27TH ST, SUITE 2, NORFOLK, NE 68701-4401
(402) 844-8291
(402) 844-8292
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
26210
NE
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
26210
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099588036
MEDICARE
NE
05
—
10025561800
—
NE
01
—
20079
BCBS
NE
Enumeration date
11/16/2006
Last updated
08/20/2014
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