Individual
BARRETT RICHARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Mailing address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
62060
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
08/21/2024
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