Individual
FRED J. BARTIZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 GRANT ST, NEENAH, WI 54956
(920) 915-4903
(920) 722-4903
Mailing address
100 GRANT ST, NEENAH, WI 54956
(920) 915-4903
(920) 722-4903
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19650-20
WI
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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