Organization
CASEY R BARTMAN MD PC
Active
Other names
Orthopaedic & Spinal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY ROBERT BARTMAN MD (OWNER)
(616) 956-7716
Entity
Organization
Contact information
Practice address
751 KENMOOR AVE, GRAND RAPIDS, MI 49546
(616) 956-7716
(616) 956-0839
Mailing address
751 KENMOOR AVE, GRAND RAPIDS, MI 49546
(616) 956-7716
(616) 956-0839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
047651
MI
207X00000X
Orthopaedic Surgery Physician
Primary
CB047651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411356
BLUE CROSS BLUE SHIELD
MI
05
—
101730719
—
MI
01
—
1422
PRIORITY HEALTH
MI
05
—
1730719
—
MI
01
—
2004113561
BLUE CROSS
MI
Enumeration date
10/23/2007
Last updated
08/21/2008
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