Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | OT6287 | OH |
NPI | 1053391086 |
---|---|
Provider Name | Mr. Steven Hartong |
First Address | Westerville, OH 43081-1329 |
Second Address | Columbus, OH 43212-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 08/07/2007 |