Individual
DR. MICHAEL ANTHONY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
927 BROADWAY ST STE 231, QUINCY, IL 62301-2749
(217) 223-8400
Mailing address
927 BROADWAY ST STE 231, QUINCY, IL 62301-2749
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036130116
IL
208600000X
Surgery Physician
OS014755
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036130116
IL
Other
Enumeration date
03/31/2010
Last updated
06/29/2021
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