Healthcare Provider Details

I. General information

NPI: 1821063173
Provider Name (Legal Business Name): DAVID A. HARTFIEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 S M 30 STE 200
WEST BRANCH MI
48661-9367
US

IV. Provider business mailing address

235 E CHICAGO ST
COLDWATER MI
49036-1783
US

V. Phone/Fax

Practice location:
  • Phone: 989-343-3762
  • Fax:
Mailing address:
  • Phone: 517-279-8465
  • Fax: 517-279-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5679
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberPT10500
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301077573
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: