Most Relevant Information
Provider Data
| NPI Number: | 1003480708 |
| Provider Name: | BREDESEN HARTMANN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 125077870 |
Most Important Dates
| Enumeration Date: | 05/17/2021 |
| Last Updated: | 05/17/2021 |
Provider Practice Location
751 N RUTLEDGE ST STE 2300
SPRINGFIELD
IL
627024968
Practice Location Phone/Fax
| Phone: | 2175458000 |
| Fax: | 2175457438 |
Provider Mailing Location
PO BOX 19644
SPRINGFIELD
IL
627949644
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |