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NPI Code Detail

MEDICARE: DOUGLAS A BARTELT APNP

MEDICARE: DOUGLAS A BARTELT APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3965-33WI

General Provider Information

NPI Number : 1184956864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS A BARTELT APNP
Provider Business Mailing Address
First Line : 161 WASHINGTON ST FL 14
Second Line : EIGHT TOWER BRIDGE, SUITE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428-2083
Country : US
Telephone Number : 866-825-3227
Fax Number : 866-397-7399
Provider Business Practice Location Address
First Line : 464 CARDINAL LANE
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9569
Country : US
Telephone Number : 866-825-3227
Fax Number : 866-397-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2010
Last Update Date : 02/05/2010

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Directions to “ DOUGLAS A BARTELT APNP” Practice Location

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