Individual
THEOPHANO HARTUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM.
Contact information
Practice address
9199 N 33 RD, MANTON, MI 49663-9762
(951) 323-3690
Mailing address
9199 N 33 RD, MANTON, MI 49663-9762
(951) 323-3690
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
7601000143
MI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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