Individual
MICHAEL J. BORTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1619 N STOUGHTON RD, MADISON, WI 53704-2603
(615) 778-4066
(615) 778-9114
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(972) 364-8000
(214) 775-4502
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
47296-020
WI
Other
Enumeration date
03/30/2007
Last updated
12/07/2009
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