Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 44934 | WI |
NPI | 1093770422 |
---|---|
Provider Name | Christie M Bartels |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53717-2656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 26/01/2021 |