Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036150312 | IL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 2019012964 | MO |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35137046 | OH |
N | 208G00000X | Cardiothoracic Vascular Surgeon | ME112494 | FL |
NPI | 1104182245 |
---|---|
Provider Name | Dr. Hartmuth Bruno Bittner |
First Address | Downers Grove, IL 60515-2075 |
Second Address | Lafayette, IN 47905-4940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 17/03/2021 |