Individual
WILLIAM T BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
459 LISBON ST, CANFIELD, OH 44406-1424
(330) 533-9515
(330) 533-9619
Mailing address
459 LISBON ST, CANFIELD, OH 44406
(330) 533-9515
(330) 533-9619
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35063289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908254
—
OH
01
—
35063289
LICENSE
OH
Enumeration date
01/13/2006
Last updated
12/28/2010
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