Individual
EZEKIEL DONOVAN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5510 UTICA RIDGE RD, DAVENPORT, IA 52807-2946
(563) 424-2025
Mailing address
4311 REGENCY PL, DAVENPORT, IA 52806-4859
(815) 541-5774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.248047
OH
208000000X
Pediatrics Physician
Primary
MD-52710
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
06/23/2024
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