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Individual

BRADLEY L BARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41358
MN
207P00000X
Emergency Medicine Physician
62662
WI

Other

Enumeration date
06/05/2006
Last updated
03/09/2021
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