Individual
KELLY BARTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23710 EDWARD ST, DEARBORN, MI 48128-1276
(313) 204-3986
Mailing address
23710 EDWARD ST, DEARBORN, MI 48128-1276
(313) 204-3986
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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