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Individual

BARRY T PASSINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3200
(612) 863-2837
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3200
(612) 863-2837

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
40714
WI
2084N0400X
Neurology Physician
Primary
57617
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32521200
WI
Enumeration date
08/02/2005
Last updated
08/25/2022
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