Provider Demographics
NPI:1427023803
Name:BARLOW, DAVID A (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:BARLOW
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2829 UNIVERSITY AVE SE STE 730
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3279
Mailing Address - Country:US
Mailing Address - Phone:612-439-1868
Mailing Address - Fax:612-439-1868
Practice Address - Street 1:2855 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2649
Practice Address - Country:US
Practice Address - Phone:763-577-7179
Practice Address - Fax:763-577-7130
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2022-01-19
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Provider Licenses
StateLicense IDTaxonomies
MN9294363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN553292200Medicaid