Provider Demographics
NPI:1891752325
Name:BARR, CARMELA A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMELA
Middle Name:A
Last Name:BARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4202 W OAKWOOD PARK CT
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9118
Mailing Address - Country:US
Mailing Address - Phone:414-855-2800
Mailing Address - Fax:414-855-2801
Practice Address - Street 1:4202 W OAKWOOD PARK CT
Practice Address - Street 2:SUITE 120
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9118
Practice Address - Country:US
Practice Address - Phone:414-855-2800
Practice Address - Fax:414-855-2801
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23218207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI70034100Medicaid