Healthcare Provider Details

I. General information

NPI: 1669402731
Provider Name (Legal Business Name): TODD T. BARNHARDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9120 W LOOMIS RD SUITE 100
FRANKLIN WI
53132-9083
US

IV. Provider business mailing address

3003 W GOOD HOPE RD
MILWAUKEE WI
53209-2042
US

V. Phone/Fax

Practice location:
  • Phone: 262-939-9318
  • Fax: 608-756-8617
Mailing address:
  • Phone: 414-352-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number32255
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: