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1548930340
ALAN BARTA
GREEN BAY, WI
NPI
1548930340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5563-23)
Enumeration Date
2021-09-14
Last Update Date
2022-03-22
Business Address
ALAN BARTA
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number: 920-490-9046
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Mailing Address
ALAN BARTA
PO BOX 28900
GREEN BAY, WI 54324-0900
Phone number: 920-490-9046
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