Provider Demographics
NPI:1194529909
Name:HARTWELL, MARK AARON (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:AARON
Last Name:HARTWELL
Suffix:
Gender:
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 57TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-2219
Mailing Address - Country:US
Mailing Address - Phone:515-371-0349
Mailing Address - Fax:
Practice Address - Street 1:1345 57TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50311-2219
Practice Address - Country:US
Practice Address - Phone:515-371-0349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program