Provider Demographics
NPI:1477569275
Name:BARTELS, MANDIP KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:MANDIP
Middle Name:KAUR
Last Name:BARTELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MANDIP
Other - Middle Name:KAUR
Other - Last Name:UPPAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8003
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54912-8003
Mailing Address - Country:US
Mailing Address - Phone:920-830-5900
Mailing Address - Fax:920-738-5787
Practice Address - Street 1:800 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-1943
Practice Address - Country:US
Practice Address - Phone:715-258-1000
Practice Address - Fax:715-258-1632
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7241207R00000X
IN01067181A207P00000X
WI64347207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine