DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS L HARTOG, M.D.

Active

DR. NICHOLAS L HARTOG, M.D. is a Allergy & Immunology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1669766325 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · GRAND RAPIDS, MI

Registration Details

NPI Number
1669766325
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2011 (15.022490055646 yrs)
Last Updated
Mar 17, 2021
Licenses
2014010402 (MO)
4301108955 (MI)
R-9168 (IA)

Practice Information

Address
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI, 495259477
Browse MI providers · Browse ZIP 49525
Phone
6162677125
Fax
6162679593
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology
Additional Specialty
Internal Medicine

Other Allergy & Immunology Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. EDWARD THOMAS STERN M.D. 1609870526
DR. VINCENT A DUBRAVEC M.D. 1346215563
NANCY J BROOKE MD 1326090275
RAYMOND GONZALEZ MD 1245287523
RICHARD ROY TOWNLEY M.D. 1457371494
THOMAS PAUL MILLER M.D. 1841210895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.