Provider Demographics
NPI:1831141886
Name:BARRY, ANN M (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:BARRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2025 SLOAN PL STE 35
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-2092
Mailing Address - Country:US
Mailing Address - Phone:651-772-1572
Mailing Address - Fax:651-772-1889
Practice Address - Street 1:14688 EVERTON AVE N
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:MN
Practice Address - Zip Code:55038-6071
Practice Address - Country:US
Practice Address - Phone:651-788-4444
Practice Address - Fax:651-429-3402
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-10-26
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Provider Licenses
StateLicense IDTaxonomies
MN38098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG20376Medicare UPIN