Individual
DAVID EDWARD HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Mailing address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
53022
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
53022
MN
Other
Enumeration date
06/30/2009
Last updated
08/21/2024
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