Individual
DR. JOEL MARK HARTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589
Mailing address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4461
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33784500
—
WI
Enumeration date
11/20/2006
Last updated
07/09/2007
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