Individual
DR. JAY MARVIN HARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1866 SCARLET OAK TRL, OSHKOSH, WI 54904-8874
(920) 303-2729
(920) 237-3183
Mailing address
1866 SCARLET OAK TRL, OSHKOSH, WI 54904-8874
(920) 303-2729
(920) 237-3183
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31863200
—
WI
Enumeration date
04/12/2007
Last updated
07/08/2007
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