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ETA BARCLAY MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1184036394

Individual Registrant:
 ETA  BARCLAY MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4050 COON RAPIDS BLVD NW  COON RAPIDS, MN 55433-2522 US
Tel: 763-236-6000  Fax: --

Contact information for business:
2450 RIVERSIDE AVE 6TH FLOOR MINNEAPOLIS, MN 55454-1450 US
Tel: (61-2) -626-2953  Fax: --

Registration Information:
NPI: 1184036394
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
MN62467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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