Individual
DR. ALISA M BARDO-MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(651) 635-9173
(651) 628-2999
Mailing address
PO BOX 43, MR 10202, MINNEAPOLIS, MN 55440
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47611
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
47611
MN
Other
Enumeration date
12/27/2005
Last updated
11/04/2020
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