Provider Demographics
NPI:1326160151
Name:MARCH, BARRIE LEETHEM (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRIE
Middle Name:LEETHEM
Last Name:MARCH
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 1:422 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-3277
Mailing Address - Country:US
Mailing Address - Phone:218-233-4246
Mailing Address - Fax:
Practice Address - Street 1:4801 AMBER VALLEY PKWY S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8623
Practice Address - Country:US
Practice Address - Phone:701-461-8219
Practice Address - Fax:701-239-4955
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4168207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDD20109Medicare UPIN