David Bartelt ATC, OTC

NPI 1104056316 - Specialist/Technologist, Other - 246Z00000X

NPI Details
NPI 1104056316
Gender Male
Enumeration Date 07/22/2009
Last Updated 04/03/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
2111 MIDLANDS CT
SYCAMORE IL, 60178-3125, US
Phone (815) 758-0000
Fax (815) 758-0094
Business Location
1952 ABERDEEN CT
SYCAMORE IL, 60178-3175, US
Phone (815) 758-0000
Fax (815) 758-0094
Toxanomy
Taxonomy Code 246Z00000X
License State
License Number
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According to our database, David Bartelt ATC, OTC NPI is 1104056316, taxonomy code is 246Z00000X David Bartelt ATC, OTC physically located at 2111 Midlands Ct, Sycamore IL, 60178-3125. NPI Number David Bartelt ATC, OTC has the Individual type.

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1104056316 NPI number is provided on an as is basis without warranty of any kind. 1104056316 is maintained by the National Plan & Provider Enumeration System. The contents of David Bartelt ATC, OTC are for informational purposes only.