Individual
MICHAEL P BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-3408
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-3408
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MB054334
MI
2085R0202X
Diagnostic Radiology Physician
MB054334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730109752
—
MI
01
—
300E676040
BLUE CROSS
MI
Enumeration date
07/20/2006
Last updated
04/06/2012
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