Provider Demographics
NPI:1346396702
Name:BARTON, JAMES C JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:BARTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3033 S 27TH ST
Mailing Address - Street 2:#302
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215
Mailing Address - Country:US
Mailing Address - Phone:414-649-0650
Mailing Address - Fax:414-649-0834
Practice Address - Street 1:3033 S 27TH ST
Practice Address - Street 2:#302
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215
Practice Address - Country:US
Practice Address - Phone:414-649-0650
Practice Address - Fax:414-649-0834
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI205882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30922800Medicaid
WI30922800Medicaid
B51393Medicare UPIN