Provider Demographics
NPI:1346280351
Name:HAN, BARBARA KELLY GLEASON (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:KELLY GLEASON
Last Name:HAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:KELLY
Other - Last Name:GLEASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:920 E 28TH ST, SUITE 300
Mailing Address - Street 2:MINNEAPOLIS HEART INSTITUTE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407
Mailing Address - Country:US
Mailing Address - Phone:612-775-3030
Mailing Address - Fax:612-863-1681
Practice Address - Street 1:800 E 28TH ST, SUITE H2100
Practice Address - Street 2:MINNEAPOLIS HEART INSTITUTE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407
Practice Address - Country:US
Practice Address - Phone:612-775-3030
Practice Address - Fax:612-775-3199
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN459832080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN370002741Medicare UPIN