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Individual

MR. JOHN SUTHERLAND BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767
(218) 565-6283
(651) 431-7631
Mailing address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767
(218) 565-6283
(651) 431-7631

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44643
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
771183200
MN
Enumeration date
12/22/2005
Last updated
10/11/2018
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