Individual
MICHAEL J HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 OAK CENTRE DR STE 140, SAN ANTONIO, TX 78258-3916
(210) 504-3650
(210) 519-3045
Mailing address
1824 DORCHESTER CT STE A, GOSHEN, IN 46526-6819
(574) 534-2548
(574) 534-3622
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
010508151A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
010508151A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
U1913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600321
ANTHEM BCBS
IN
Enumeration date
07/17/2006
Last updated
02/21/2023
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