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Individual

LESLIE HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-7787
(320) 257-5596
Mailing address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-7787
(320) 257-5596

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
52783
WI
2085R0202X
Diagnostic Radiology Physician
Primary
57568
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710150321
MN
Enumeration date
04/04/2008
Last updated
08/12/2014
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