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Individual

ELIANA RAE BARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6333
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8469
WI
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100367309
WI
Enumeration date
06/28/2025
Last updated
06/10/2026
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