Individual
DR. DAVID HARTSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036106457
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106457001
—
IL
05
—
0570028
—
IL
05
—
1570028
—
IL
01
—
99296
BCWELLMARK WEST
—
01
—
99544
BCWELLMARK 7TH
—
01
—
IL0181
JOHN DEERE ILLINOIS
—
Enumeration date
02/09/2006
Last updated
02/02/2023
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