Individual
TIMOTHY J BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
7582 CURRELL BLVD, SUITE 109, WOODBURY, MN 55125-2262
(651) 739-4111
(715) 831-9090
Mailing address
800 WISCONSIN ST. MAILBOX 103, BUILDING D02 SUITE 315, EAU CLAIRE, WI 54703-3613
(715) 831-9000
(715) 831-9090
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38459900
—
WI
Enumeration date
04/23/2007
Last updated
04/01/2011
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