Individual
MR. JONATHAN R BARTKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
2170 CONNOLLY DR, TROY, MI 48098-5301
(517) 740-4333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009472
MI
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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