Individual
BARRY OSTBY SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4892
(320) 231-4880
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4892
(320) 231-4880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38065
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206726900
—
MN
Enumeration date
05/23/2006
Last updated
11/01/2007
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