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Individual

GARY M BARTELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
810 W COLUMBIA ST, OBERLIN, KS 67749-2450
(785) 475-2208
Mailing address
203 N MARKS AVE, OBERLIN, KS 67749-1945
(785) 475-2004

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54112
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246350A
KS
01
145094
CRNA BCBS GARY
KS
Enumeration date
03/14/2007
Last updated
01/06/2009
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