| NPI | 1174769301 | 
|---|---|
| Other Name | COREY EVAN HARTHOORN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 21459)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-41727)  | 
| 207Q00000X Family Medicine (Licence: IL 036147964)  | |
| 207Q00000X Family Medicine (Licence: SD 11396)  | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000260)  | |
| 207Q00000X Family Medicine (Licence: UT 11090546-1205)  | |
| 207Q00000X Family Medicine (Licence: WA MD60921102)  | |
| 207Q00000X Family Medicine (Licence: AZ 57802)  | |
| 207Q00000X Family Medicine (Licence: IA MD-45813)  | |
| 207Q00000X Family Medicine (Licence: MN 64844)  | |
| 207Q00000X Family Medicine (Licence: ME MD22777)  | |
| Enumeration Date | 2008-12-17 | 
| Last Update Date | 2025-01-21 |