Individual
GREGORY L BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0911388
IOWA MEDICAID
IA
01
—
10-00010
MEDICA PRIMARY - GROUP #
MN
01
—
10-28847
MEDICA
MN
01
—
1000374
PREFERRED ONE
MN
01
—
104241
UCARE
MN
05
—
276365600
—
MN
01
—
2M769BA
BLUE CROSS
MN
01
—
31969900
EDS - WISCONSIN MEDICAID
WI
01
—
88308
AMERICA'S PPO
MN
Enumeration date
08/09/2005
Last updated
06/03/2013
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