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Individual

MANDY SUE HARTING

Active
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Individual

MANDY SUE HARTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301091364
MI
207N00000X
Dermatology Physician
P5987
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
P5987
TX

Other

Enumeration date
04/29/2008
Last updated
09/26/2013
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