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Individual

DR. ERIC RYAN HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
302 BALDWIN ST, JENISON, MI 49428-7909
(616) 457-1168
(616) 457-1196
Mailing address
302 BALDWIN ST, JENISON, MI 49428-7909
(616) 457-1168
(616) 457-1196

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008464
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3244583
MI
01
950G00526
BCBSM
MI
Enumeration date
08/09/2005
Last updated
09/27/2013
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