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General NPI Number Information
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NPI Number | 1629139779
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM BARTELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 16151 STATE HIGHWAY 29 SUITE 100
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City | GLENWOOD
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State | MN
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Zip | 56334-2142
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Country | US
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Telephone | 320-634-3000
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Fax | 320-634-1948
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Provider Business Mailing Address
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Address Line | 12 6TH AVE, SUITE 103 PO BOX 113
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City | GLENWOOD
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State | MN
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Zip | 56334
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Country | US
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Telephone | 320-634-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4239
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License Number State | MN
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