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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508709262

Mallory Rae Hartman, MD is a Student in an Organized Health Care Education/Training Program in LA Crosse, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508709262
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address1836 South Ave, La Crosse, WI 54601-5429

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