| Doctor Name: | MRS. OKNANG BARTOK |
| NPI Number: | 1184870552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 4704158379 |
| Business Practice Address: | 20160 Mack Ave Grosse Pointe Woods, MI - 482361822 |
| Business Phone Number: | 3138828600 |
| Business Fax Number: | 3138820737 |
| Mailing Address: | 25704 Winding Creek Dr, NEW BOSTON |
| State: | MI |
| Postal Code: | 481649132 |
| Phone Number: | 7346543768 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2008 |
| NPI Last Update Date: | 08/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704158379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |