Individual
BARRY R RITTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 S 6TH ST, SUITE F256/2B W, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
2312 S 6TH ST, SUITE F256/2B W, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29095
MN
2084P0804X
Child & Adolescent Psychiatry Physician
29095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057580100
—
MN
05
—
0999540
—
IA
01
—
1012205
PREFERRED ONE NUMBER
MN
01
—
108821
UCARE NUMBER
MN
01
—
15-05304
UBH/MEDICA
MN
01
—
607399
AMERICA'S PPO
MN
01
—
8D935RI
BCBS MN
MN
01
—
HP17039
HEALTHPARTNERS NUMBER
MN
Enumeration date
08/25/2006
Last updated
05/30/2012
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