Healthcare Provider Details
I. General information
NPI: 1174761027
Provider Name (Legal Business Name): HARTMAN & SILVER DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2009
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35337 WARREN RD
WESTLAND MI
48185-2013
US
IV. Provider business mailing address
906 S MAIN ST SUITE 1
PLYMOUTH MI
48170-2093
US
V. Phone/Fax
- Phone: 734-455-3669
- Fax: 734-455-3797
- Phone: 734-455-3669
- Fax: 734-455-3797
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TAMMY
LEE
HALEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 734-455-3669