| NPI | 1508898081 |
|---|---|
| Former Name | STACY BARTNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301074402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301074402) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101239950) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-03-08 |