Provider Demographics
NPI:1962118752
Name:HARTLAND MEDICINE PLLC
Entity type:Organization
Organization Name:HARTLAND MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUTTING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-888-6814
Mailing Address - Street 1:13277 HYDE RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-3209
Mailing Address - Country:US
Mailing Address - Phone:480-888-6814
Mailing Address - Fax:
Practice Address - Street 1:2750 BELLA VITA DR
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-0139
Practice Address - Country:US
Practice Address - Phone:810-379-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIVS0270901Medicaid
MI4301108278OtherMED LIC