Individual provider · Type 1 NPI
Ryan Glenn Hartig, MD
General Practice Physician · Fort Wayne, IN
NPI number
1053747741
Active
Practice location
4666 W Jefferson Blvd Ste 170
Fort Wayne, IN 46804-6893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 01076905A (IN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Fort Wayne
About NPI 1053747741
Ryan Glenn Hartig, MD's National Provider Identifier is 1053747741, issued on Sep 25, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 21, 2025.