Individual
DAVID HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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