MEDICARE: DR. MARY G BARTELS MD

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
1	2084P0800X	Psychiatry Physician	MD00023840	WA

General Provider Information

NPI Number	:	1609925700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY G BARTELS MD

Provider Business Mailing Address
First Line	:	7254 91ST AVE SE
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-5802
Country	:	US
Telephone Number	:	206-679-9084
Fax Number	:

Provider Business Practice Location Address
First Line	:	7254 91ST AVE SE
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-5802
Country	:	US
Telephone Number	:	206-679-9084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	04/14/2022

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