Individual
JESSICA L BARTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O,
Contact information
Practice address
1314 E 7TH ST STE 103, AUBURN, IN 46706-2533
(260) 920-2710
(260) 927-9521
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02006582A
IN
208600000X
Surgery Physician
5101019735
MI
Other
Enumeration date
06/22/2012
Last updated
06/04/2024
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