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Individual

BARRY R RICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
66649 305TH ST, LITCHFIELD, MN 55355-4803
(763) 656-9001
Mailing address
66649 305TH ST, LITCHFIELD, MN 55355-4803
(763) 656-9001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612498
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
2947
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046032
CERTIFICATION NUMBER
MN
Enumeration date
03/31/2006
Last updated
04/28/2011
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