Individual
MICHAEL P HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL LN, SUITE 100, DANVILLE, IN 46122-1989
(317) 745-7310
(317) 745-7320
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01056831A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200875670
—
IN
Enumeration date
10/25/2006
Last updated
03/05/2021
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