Individual
TERESA IRENE BARRERA-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 697-4062
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 697-4062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52564
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19555
RESIDENT PERMIT NUMBER
MN
Enumeration date
05/07/2008
Last updated
11/13/2012
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