MEDICARE: DR. DONALD J HARDMAN MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301062726	MI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110138160	OTHER	MI	METRAHEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	110B510530	OTHER	MI	B LUE CROSS BLUE SHIELD
4	G41734	OTHER	MI	HEALTH ALLIANCE PLAN
5	0802503102	OTHER	MI	BLUE CROSS BLUE SHIELD
6	C5781	OTHER	MI	MCARE
7	5716508	OTHER	MI	AETNA
8	253179	OTHER	MI	HEALTH ADVANTAGE NETWORK
9	110B510530	OTHER	MI	BLUE CARE NETWORK
10	3153084010	OTHER	MI	CIGNA
11	0980010	OTHER	MI	HEALTH PLUS
12	G41734	OTHER	MI	HEALTH NET FEDERAL
13	0B50030	OTHER	MI	BCBSM GROUP
14	253179	OTHER	MA	MCLAREN HEALTH PLAN

NPI Number	:	1013906700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD J HARDMAN MD

Provider Business Mailing Address
First Line	:	3755 REMEMBRANCE RD NW
Second Line	:	STE 1
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49534-7745
Country	:	US
Telephone Number	:	616-453-4403
Fax Number	:	616-453-2815

Provider Business Practice Location Address
First Line	:	3499 S LINDEN RD STE 2
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-3022
Country	:	US
Telephone Number	:	810-820-8121
Fax Number	:	810-820-8335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	02/08/2019

3499 S LINDEN RD STE 2
FLINT, MI
48507-3022

Practice Phone: 248-336-4000
Practice Fax: 248-336-9137

3499 S LINDEN RD , SUITE 2
FLINT, MI
48507-3022