Individual
DAVID HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 OMNI BLVD, SUITE 205, NEWPORT NEWS, VA 23606
(757) 873-2562
(757) 873-2570
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57.005688
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2839110
—
OH
01
—
P00620400
RAILROAD MEDICARE
OH
Enumeration date
06/06/2007
Last updated
10/05/2012
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