Provider Demographics
NPI:1215196969
Name:BARTEL, DAVID PAUL (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PAUL
Last Name:BARTEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8284 WHITE CLIFF RD
Mailing Address - Street 2:
Mailing Address - City:FISH CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:54212-9490
Mailing Address - Country:US
Mailing Address - Phone:920-746-2977
Mailing Address - Fax:920-746-2962
Practice Address - Street 1:1300 EGG HARBOR RD
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-1277
Practice Address - Country:US
Practice Address - Phone:920-746-2977
Practice Address - Fax:920-746-2962
Is Sole Proprietor?:No
Enumeration Date:2008-06-07
Last Update Date:2008-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9873040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist