Individual
BARRY SPREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(319) 422-3811
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
049809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266163
—
IA
01
—
19G74BA
BLUE CROSS OF MINNESOTA
MN
01
—
26616
BLUE CROSS BLUE SHIELD
IA
01
—
31547
BLUE CROSS OF IOWA
IA
01
—
430019359
RAILROAD MEDICARE
IA
01
—
8501
MIDLANDS CHOICE
IA
Enumeration date
06/15/2005
Last updated
04/25/2008
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