Individual
KEVIN TODD BARTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
3113 LAKE VISTA DR NW, ROCHESTER, MN 55901-7407
(513) 515-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12861
MN
Other
Enumeration date
11/22/2018
Last updated
09/29/2020
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