Individual
DR. ANDREW CHARLES HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2814 NORTHGATE DR, SUITE 2, IOWA CITY, IA 52245-9568
(319) 338-5484
(319) 338-9413
Mailing address
2814 NORTHGATE DR, SUITE 2, IOWA CITY, IA 52245-9568
(319) 338-5484
(319) 338-9413
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206797
—
IA
Enumeration date
08/01/2006
Last updated
07/08/2007
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