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Contact Information

RANDY G HARTMAN, DPM
620 WOODMERE AVE
TRAVERSE CITY, MI49686-3397
 Phone: 231-946-8822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RANDY G HARTMAN · (Male)

NPI # 1467492363
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/08/2006
Last updated 04/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # RH001180
  • MI Medicaid 2879030
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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