Individual
DR. JEFFREY MICHAEL HARTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29138-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31534400
—
WI
Enumeration date
06/26/2006
Last updated
12/02/2021
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