Provider Demographics
NPI:1740211275
Name:BARTNIK, JOHN K (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:K
Last Name:BARTNIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 MACKINAW RD.
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9533
Mailing Address - Country:US
Mailing Address - Phone:989-791-2330
Mailing Address - Fax:989-791-2329
Practice Address - Street 1:5400 MACKINAW RD.
Practice Address - Street 2:SUITE 4200
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9533
Practice Address - Country:US
Practice Address - Phone:989-791-2330
Practice Address - Fax:989-791-2329
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJB062933207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G31085OtherBCBS
MI1107302141OtherHEALTH PLUS
MI383553403101OtherCOMMUNITY CHOICE
MI1006943OtherMCLAREN HEALTH PLAN
MI0G31085OtherBLUE CARE NETWORK
MI100242OtherGREAT LAKES HEALTH PLAN
MI4514179OtherAETNA
MI4222419Medicaid
MI83000786OtherRAILROAD MEDICARE
MI383553403101OtherCOMMUNITY CHOICE
MI100242OtherGREAT LAKES HEALTH PLAN
MI4222419Medicaid