Individual
DR. TRACY ANN HAERTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
615 N MICHIGAN ST, 6 EAST, SOUTH BEND, IN 46601-1033
(574) 647-6892
(574) 647-6895
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
02004056A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
036123303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000781399
BCBS MEMORIAL CHILDRENS HOSPITAL
IN
05
—
201085280
—
IN
Enumeration date
07/31/2007
Last updated
03/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us