Individual
BONNIE J BARTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 JEFFERSON ST NORTH, TRI-COUNTY HEALTH CARE, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Mailing address
415 JEFFERSON ST NORTH, TRI-COUNTY HOSPITAL, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9126
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199583900
—
MN
Enumeration date
05/27/2006
Last updated
10/17/2016
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