Individual
DR. TIMOTHY DALE HARTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2323 W 5TH AVE, COLUMBUS, OH 43204-4899
(614) 224-6420
Mailing address
2323 W 5TH AVE, COLUMBUS, OH 43204-4899
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085970
—
OH
Enumeration date
10/24/2009
Last updated
02/16/2022
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