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1053747741
RYAN GLENN HARTIG
FORT WAYNE, IN
NPI
1053747741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: IN 01076905A)
Enumeration Date
2013-09-25
Last Update Date
2024-03-13
Business Address
Dr. RYAN GLENN HARTIG M.D.
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6804
Phone number: 260-204-5819
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Mailing Address
Dr. RYAN GLENN HARTIG M.D.
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6804
Phone number:
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