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Organization

CASEY R BARTMAN MD PC

Active
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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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