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Jonathan R Bartkus, PA-C

Physician Assistant in Mount Clemens, MI. Individual provider (NPI-1).

NPI number1497314280
StatusActive
Last updated in NPPESJun 6, 2019

Details

NPI
1497314280
Entity type
Individual (NPI-1)
Name
Mr. Jonathan R Bartkus
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 6, 2019
Last updated
Jun 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601009472MIYes

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8000

Mailing address

2170 Connolly Dr
Troy, MI 48098-5301

Phone 517-740-4333

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