Dr. NICHOLAS L HARTOG M.D.
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1669766325- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI, 495259477
- Phone
- (616) 267-7125
- Fax
- (616) 267-9593
Specialties & Taxonomies
Allergy & Immunology
License: MO #2014010402
Allergy & Immunology
Primary License: MI #4301108955
Internal Medicine
License: IA #R-9168
All Addresses
MAILING
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI, 495032560