Provider Demographics
NPI:1912911454
Name:DARLING, JOHN BERTRAM III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BERTRAM
Last Name:DARLING
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1313 5TH ST SE
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-4504
Mailing Address - Country:US
Mailing Address - Phone:612-435-7200
Mailing Address - Fax:612-435-7201
Practice Address - Street 1:1313 5TH ST SE
Practice Address - Street 2:SUITE 314
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4504
Practice Address - Country:US
Practice Address - Phone:612-435-7200
Practice Address - Fax:612-435-7201
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-04-08
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Provider Licenses
StateLicense IDTaxonomies
MN482652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry