Individual
HUGH E HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2708
(906) 487-2743
Mailing address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2708
(906) 487-2743
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704119655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101599720
—
MI
01
—
430023600
RAILROAD MEDICARE PIN
MI
01
—
43400400
WISC MEDICAID PIN
WI
01
—
HH119655
BLUESHIELD PIN
MI
Enumeration date
11/15/2005
Last updated
06/13/2013
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