Individual
ALAN BARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 490-9046
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5563-23
WI
Other
Enumeration date
09/14/2021
Last updated
03/22/2022
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