Healthcare Provider Details

I. General information

NPI: 1952807042
Provider Name (Legal Business Name): MEGAN MARIE BARTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CURVE CREST BLVD W
STILLWATER MN
55082-5085
US

IV. Provider business mailing address

2900 CURVE CREST BLVD W
STILLWATER MN
55082-5085
US

V. Phone/Fax

Practice location:
  • Phone: 651-471-5600
  • Fax: 651-471-5620
Mailing address:
  • Phone: 651-471-5600
  • Fax: 651-471-5620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81611
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number72272
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: