Individual
DR. MICHAEL BRUCE WARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7331 GLADIOLUS DR, FORT MYERS, FL 33908-5101
(239) 437-8810
(239) 437-8875
Mailing address
15051 S TAMIAMI TRL STE 203, FORT MYERS, FL 33908-5182
(239) 232-1180
(239) 666-3051
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME75333
FL
207ND0900X
Dermatopathology Physician
ME75333
FL
207NS0135X
Procedural Dermatology Physician
ME75333
FL
Other
Enumeration date
08/31/2005
Last updated
12/04/2020
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