Individual
MICHELLE J BARTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5277-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568027555
—
WI
Enumeration date
05/05/2019
Last updated
10/15/2025
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