Individual
DR. WILLIAM JOHN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
315 JEFFERSON ST S, WADENA, MN 56482-1533
(218) 631-1456
(218) 631-3213
Mailing address
1508 2ND ST SW, WADENA, MN 56482-2115
(218) 631-2078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171525900
—
MN
Enumeration date
07/27/2006
Last updated
07/08/2007
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