Organization
JEFFREY HARTZELL MD PC
Active
Other names
Indiana Sports Medicine and Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HARTZELL M.D. (OWNER)
(260) 205-5634
Entity
Organization
Contact information
Practice address
2936 FRONTAGE RD, WARSAW, IN 46580-3914
(260) 205-5634
Mailing address
10214 CHESTNUT PLAZA DR, #231, FORT WAYNE, IN 46814-8970
(260) 205-5634
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163670A
—
IN
Enumeration date
05/28/2013
Last updated
02/28/2014
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