Individual
BRIELLE BARTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 767-6020
Mailing address
S73W26285 SIERRA MADRE CT, WAUKESHA, WI 53189-9643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5175-023
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100171466
—
WI
Enumeration date
02/12/2020
Last updated
08/07/2023
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