Individual
LINDA Y BARTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1291
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1291
WI STATE LICENSE#
WI
Enumeration date
05/22/2007
Last updated
06/06/2012
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