Ryan Glenn Hartig, M.D.

General Practice Physician · Fort Wayne, IN

Individual Active NPI

NPI number 1053747741

Practice location

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

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NPI record

NPI
1053747741
Entity type
Individual (Type 1)
Enumeration date
September 25, 2013
Last updated
February 21, 2025
Certified
February 21, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 01076905A IN

About Dr. Hartig

Ryan Glenn Hartig, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893. The NPI number 1053747741 was assigned on September 25, 2013 and the record was last updated on February 21, 2025.

Dr. Hartig lists a license in the registry: #01076905A (IN) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Glenn Hartig, M.D.?

The NPI number is 1053747741.

What is the phone number of Dr. Hartig?

The phone number listed for the practice location is (260) 207-4137.

Where is Dr. Hartig located?

4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893.

What is the taxonomy code for Dr. Hartig?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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