Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ryan Glenn Hartig, MD

Individual provider General Practice Physician · NPI 1053747741

Dr. Ryan Glenn Hartig, MD is a General Practice Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4666 W Jefferson Blvd Ste 170
Fort Wayne, IN 46804-6893
Phone: (260) 207-4137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 01076905A (IN)

Record details

NPI number1053747741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893

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