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NPI Code Detail

MEDICARE: JONATHAN MILES BARTON M.D.

MEDICARE:   JONATHAN MILES BARTON  M.D.
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
12084P0800XPsychiatry PhysicianMD452932PA
22084P0804XChild & Adolescent Psychiatry PhysicianMD452932PA

General Provider Information

NPI Number : 1588974646
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN MILES BARTON M.D.
Provider Business Mailing Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 262-646-4411
Fax Number :
Provider Business Practice Location Address
First Line : 1 WINDING DR STE 106
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19131-2907
Country : US
Telephone Number : 800-767-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 06/14/2023

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Directions to “ JONATHAN MILES BARTON M.D.” Practice Location

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