Provider Demographics
NPI:1710069208
Name:SEGAL, BARBARA MARGE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARGE
Last Name:SEGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:701 PARK AVE # G5
Mailing Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE # B1.290
Practice Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-2700
Practice Address - Fax:612-904-4440
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN44391207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7777470Medicaid
MNHP34627OtherHEALTH PARTNERS
ND10387Medicaid
MN140968OtherUCARE
MN1504534OtherARAZ
MN32-00003OtherMEDICA PRIMARY
MN582473700Medicaid
MN173A5SEOtherBLUE CROSS BLUE SHIELD
MN32-00085OtherMEDICA CHOICE
WI34157400Medicaid
MN1029771OtherPREFERRED ONE
MN140968OtherUCARE
F37092039Medicare ID - Type Unspecified