Individual
ETA BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
2450 RIVERSIDE AVE, 6TH FLOOR, MINNEAPOLIS, MN 55454-1450
(612) 626-2953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62467
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2014
Last updated
07/21/2022
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