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Individual

MATTHEW EDWARD HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 861-8550
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML20008507
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60037732
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720187826
WA
Enumeration date
09/22/2006
Last updated
05/21/2021
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