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Individual

ANDREA JEAN BARRETT

Active
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Individual

ANDREA JEAN BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60871
WI
207X00000X
Orthopaedic Surgery Physician
Primary
MD35665
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0146359
LABOR AND INDUSTIRES
WA
01
193192400
US DEPARTMENT OF LABOR
01
4304BA
LOCAL BLUE SHIELD PLAN
WA
01
60871-20
WI STATE LIC
WI
05
80757600
ID
05
8449035
WA
01
P00375433
RAILROAD MEDICARE
Enumeration date
03/10/2006
Last updated
01/10/2019
Update your record

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