Individual provider · Type 1 NPI

Nicholas L. Hartog, MD

Allergy & Immunology Physician · Grand Rapids, MI

NPI number 1669766325 Active

Practice location

3271 Clear Vista Ct NE
Grand Rapids, MI 49525-9477

Call (616) 267-7125 Map

Fax (616) 267-9593

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Allergy & Immunology Physician	207K00000X	2014010402 (MO)
Allergy & Immunology Physician Primary	207K00000X	4301108955 (MI)
Internal Medicine Physician	207R00000X	R-9168 (IA)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1669766325

Nicholas L. Hartog, MD's National Provider Identifier is 1669766325, issued on May 30, 2011. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 17, 2021.