Individual
MR. JOHN W HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 WILLARD DR, SUITE 200, GREEN BAY, WI 54304
(920) 496-0600
Mailing address
916 WILLARD DR, SUITE 200, GREEN BAY, WI 54304
(920) 496-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WI-4202B-020
WI
207RN0300X
Nephrology Physician
WI-4202B-020
WI
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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