Individual
PAUL R HARTMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 W 53RD ST, STE 1, DAVENPORT, IA 52806-2440
(563) 421-4900
(563) 421-4910
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24501
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077674
HEALTH ALLIANCE
—
01
—
19916
IOWA HEALTH SOLUTIONS
—
05
—
4039362
—
IA
01
—
41550
WELLMARK BC/BS
—
01
—
4796890008
DMERC
—
01
—
IA0175
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/20/2005
Last updated
07/09/2007
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