NPI 1134699374
Philip Hartley
Practice location
- Address
- 1345 Monroe Ave NW STE 140, Grand Rapids, MI 49505-4609
- Phone
- (616) 458-9520
- Mailing address
- 625 Prospect Ave SE, Grand Rapids, MI 49503-5341
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1134699374
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Nov 2018
- Record last updated
- 30 Nov 2018
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.