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Contact Information

RICHARD M HACKBARTH, MD
100 MICHIGAN ST NE
MC 117
GRAND RAPIDS, MI49503-2560
 Phone: 616-267-0118
 Fax: 616-267-0090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RICHARD M HACKBARTH · (Male)

NPI Number 1912979220
Status Active
Credentials MD
Entity Individual
Enumeration date 02/02/2006
Last updated 07/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301405798
  • MI Medicaid 2693093
  • MI Other 3504109321 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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