Healthcare Provider Details

I. General information

NPI: 1558564732
Provider Name (Legal Business Name): CURTIS WAYNE HARTMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981080 UNIVERSITY OF NEBRASKA MEDICAL CTR
OMAHA NE
68198-1080
US

IV. Provider business mailing address

981080 UNIVERSITY OF NEBRASKA MEDICAL CTR
OMAHA NE
68198-1080
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-8000
  • Fax: 402-559-5511
Mailing address:
  • Phone: 402-559-8000
  • Fax: 402-559-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number036120465
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: