Individual
DR. JOHN MICHAEL HARTNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5365 W COBBLESTONE ST, BLOOMINGTON, IN 47403-8204
(415) 548-1885
Mailing address
5365 W COBBLESTONE ST, BLOOMINGTON, IN 47403-8204
(415) 548-1885
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01088532A
IN
207RI0200X
Infectious Disease Physician
Primary
G72166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G721661
—
CA
Enumeration date
08/08/2006
Last updated
04/02/2025
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