Individual
MRS. ELLEN GRACE BARNSTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9695
(622) 249-5000
Mailing address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9695
(622) 249-5000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
83862-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
11021938A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287398
—
WI
Enumeration date
03/25/2020
Last updated
11/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us