Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35-04-4789 H | OH |
NPI | 1255446845 |
---|---|
Provider Name | Robert H Hartwig |
First Address | Toledo, OH 43623 |
Second Address | Sylvania, OH 43560-1455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 12/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0431401 | (05) | OH |
C01874 | (02) |