Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY M BASTASIC, MD
ActiveJEFFREY M BASTASIC, MD is a Family Medicine healthcare provider located in MENASHA, Wisconsin. NPI 1164547600 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MENASHA, WI
Registration Details
- NPI Number
- 1164547600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.391642720832 yrs)
- Last Updated
- Jan 6, 2021
- License
-
52366 (WI)
Practice Information
- Address
-
878 W AIRPORT RDMENASHA, WI, 549521461Browse WI providers · Browse ZIP 54952
- Phone
- 9207275982
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MENASHA, WI
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE R DONATELLE | MD | 1871587782 |
| CHERYL-LYNN M PITRE | MD | 1801881214 |
| GARY MARK HEIFNER | MD | 1518952928 |
| JOHN R SPENCER | MD | 1598720575 |
| NATHAN C GRUNWALD | MD | 1073549887 |
| SUZANNE C BLOOMHUFF | MD | 1093744245 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.