Individual
JOHN M HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1968
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301022886
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4583789
—
MI
Enumeration date
08/16/2005
Last updated
09/20/2023
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