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Individual

DR. SUSAN E HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
362 MERIDIAN PARKE LN, GREENWOOD, IN 46142-9425
(317) 859-3737
(317) 859-3730
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 859-3737
(317) 859-3730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035234A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100363970B
IN
Enumeration date
11/16/2005
Last updated
12/10/2009
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