Allan R Hartsough, MD
Obstetrics & Gynecology in Burnsville, MN. Individual provider (NPI-1).
NPI number1265498331
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1265498331
- Entity type
- Individual (NPI-1)
- Name
- Allan R Hartsough
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Certification date
- Sep 15, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 39641 | MN | Yes |
| 207V00000X | Obstetrics & Gynecology | 20046 | AZ |
Practice location
303 Nicollet BoulevardBurnsville, MN 55337
Phone 952-892-8770
Mailing address
303 E Nicollet BlvdBurnsville, MN 55337-4522
Other practice locations
269 S Candy Ln
Cottonwood, AZ 86326-4158
Cottonwood, AZ 86326-4158
Phone 928-639-6025 · Fax 928-634-2050
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