Individual
JEROME E HARTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1799
Mailing address
17573 INTERLUDE RD, TOMAH, WI 54660-6674
(608) 372-1799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
227023
WI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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