Individual
ROBERT ALAN ORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LILLY CORPORATE CTR, DC 1940, INDIANAPOLIS, IN 46285-0001
(317) 433-2779
Mailing address
LILLY CORPORATE CTR, DC 1940, INDIANAPOLIS, IN 46285-0001
(317) 433-2779
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01072827A
IN
207RR0500X
Rheumatology Physician
2001005641
MO
207RR0500X
Rheumatology Physician
E-5590
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167965001
—
AR
05
—
205295900
—
MO
01
—
660003367
RR MEDICARE
MO
01
—
E-5590
ARKANSAS MEDICAL LICENSE
AR
01
—
P00415665
RAILROAD MEDICARE
MO
Enumeration date
05/11/2006
Last updated
08/05/2013
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