Individual
MICHAEL ROBERT BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 W CAPITOL AVE, PIERRE, SD 57501-2036
(605) 224-0404
(605) 224-8026
Mailing address
100 W CAPITOL AVE, PIERRE, SD 57501-2036
(605) 224-0404
(605) 224-8026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W00000X
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201472
—
SD
Enumeration date
01/03/2007
Last updated
05/28/2010
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