Provider Demographics
NPI:1609145317
Name:BARTSCH, PATRICIA S (PHD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:BARTSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30761 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENT
Mailing Address - State:MN
Mailing Address - Zip Code:55947-4272
Mailing Address - Country:US
Mailing Address - Phone:507-643-6047
Mailing Address - Fax:
Practice Address - Street 1:205 GREEN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-3329
Practice Address - Country:US
Practice Address - Phone:608-406-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other