Individual
ALYSSA JEAN BARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
6025 LAKE ROAD, STE 110, WOODBURY, MN 55125-1709
(651) 735-7414
(651) 735-1827
Mailing address
2550 UNIVERSITY AVE W, STE 110, SAINT PAUL, MN 55114-2001
(651) 602-5311
(651) 222-3786
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11044
LICENSE PHYSICIAN ASSISTANT
MN
Enumeration date
11/14/2011
Last updated
05/11/2017
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