Individual
DERRIK HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6317
(651) 489-0641
Mailing address
7512 10TH ST SE, ROCHESTER, MN 55904-8661
(507) 272-5955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13222
MN
Other
Enumeration date
06/27/2013
Last updated
12/07/2020
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