Provider Demographics
NPI:1154394989
Name:HARTMANN, JOHN JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:HARTMANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DELHI ST
Mailing Address - Street 2:STE 4100
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6358
Mailing Address - Country:US
Mailing Address - Phone:563-557-5900
Mailing Address - Fax:563-557-5905
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:STE 4100
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6358
Practice Address - Country:US
Practice Address - Phone:563-557-5900
Practice Address - Fax:563-557-5905
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA01794174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA080087202OtherRAILROAD MEDICARE
IA2186619Medicaid
IA421462387OtherMISCELLANEOUS INSURANCE
IA1154394989OtherNPI
IA11539OtherDEAN HEALTHCARE
IA55309OtherWELLMARK BCBS NUMBER
IAIA0105OtherJOHN DEERE HEALTHCARE
IAIA0105OtherJOHN DEERE HEALTHCARE
IAA01862Medicare UPIN