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Individual

BRIAN J HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3709 OAK FORGE WAY, GREENWOOD, IN 46143-6729
(317) 300-4112
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35087317
OH
207P00000X
Emergency Medicine Physician
Primary
01061644A
IN
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
01061644A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090540861
MEDICARE PTAN
IN
05
200855290
IN
Enumeration date
05/05/2006
Last updated
12/12/2023
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