Individual
BART J ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476
(715) 393-1059
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39893
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32486800
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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