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Individual
TOM WIRTH BARTSOKAS
Active
Individual
TOM WIRTH BARTSOKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.052565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653985
—
OH
05
—
3810028966
—
WV
01
—
4272541
MEDICARE ID
OH
01
—
P01604257
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
10/03/2005
Last updated
03/24/2016
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