NPI 1053747741

Ryan Glenn Hartig, MD

Practitioner General Practice Physician Fort Wayne, IN

Practice location

Address: 4666 W Jefferson Blvd STE 170, Fort Wayne, IN 46804-6893
Phone: (260) 207-4137

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01076905A (IN)

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Registry record

NPI: 1053747741
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2013
Record last updated: 21 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.