Individual
ALICE MARIE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1407 CORPORATE WAY, SUITE 101, SEYMOUR, IN 47274
(812) 523-3112
(812) 523-2069
Mailing address
1407 CORPORATE WAY, SUITE 101, SEYMOUR, IN 47274
(812) 523-3112
(812) 523-2069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01042089A
IN
207VG0400X
Gynecology Physician
Primary
0104208919
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336964
BLUE CROSS BLUE SHIELD
IN
05
—
0104208919
—
IN
01
—
044981
SOUTHEASTERN IN HEALTH OR
IN
05
—
100407630
—
IN
01
—
P00151305
MEDICARE RAILROAD
IN
Enumeration date
07/11/2006
Last updated
04/29/2024
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