Provider Demographics
NPI:1730288119
Name:BARKE, RODERICK ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:ALLEN
Last Name:BARKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF SURGERY (112), 1 VETERANS DRIVE
Mailing Address - Street 2:MINNEAPOLIS VETERANS AFFAIR MEDICAL CENTER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2648
Mailing Address - Country:US
Mailing Address - Phone:612-467-2384
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF SURGERY (112)
Practice Address - Street 2:MINNEAPOLIS VETERANS AFFAIR MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2648
Practice Address - Country:US
Practice Address - Phone:612-467-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN250762086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care