Individual
DR. TODD HARTGERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL, WYOMING, MI 49519
(616) 252-7123
Mailing address
PO BOX 2184, CERTIFIED EMERGENCY MEDICINE SPECIALISTS, GRAND RAPIDS, MI 49501-2184
(616) 363-7867
(616) 363-9432
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
TH012618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4097277
—
MI
01
—
930080188
RAILDROAD MEDICARE
MI
01
—
TH012618
MI PHYSICIANS LICENSE
MI
Enumeration date
02/15/2006
Last updated
08/28/2009
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