Individual
DR. MICHEAL A HARTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(804) 272-8806
Mailing address
9704 WILDBRIAR LN, RICHMOND, VA 23229-3951
(804) 270-7075
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
101031863
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7214294
—
VA
Enumeration date
05/26/2006
Last updated
08/05/2008
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