Mrs. ELLEN GRACE BARNSTABLE MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1053948562- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 146 E GENEVA SQ, LAKE GENEVA, WI, 531479695
- Phone
- (622) 249-5000
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: IN #11021938A
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: WI #83862-20