Provider Demographics
NPI:1780686592
Name:LABINE, BARRY A (MD)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:A
Last Name:LABINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:161 19TH ST S STE 106
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-2555
Mailing Address - Country:US
Mailing Address - Phone:320-252-3376
Mailing Address - Fax:218-898-7597
Practice Address - Street 1:161 19TH ST S STE 106
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2555
Practice Address - Country:US
Practice Address - Phone:320-252-3376
Practice Address - Fax:218-898-7597
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35729207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
39A76LAOtherBLUE CROSS BLUE SHIELD
0300313OtherMEDICA HEALTH PLANS
MN167075100Medicaid
596562OtherARAZ GROUP/AMERICAS PPO
1013504OtherPREFERRED ONE
HP16582OtherHEALTH PARTNERS
P00072851OtherRR MEDICARE
117106OtherU CARE
167075100OtherMEDICAL ASSISTANCE
2114100OtherFIRST HEALTH PLAN
CU0204OtherRR MEDICARE
MN167075100Medicaid
117106OtherU CARE