Individual
MR. CHARLES R BARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
501 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6772
(952) 460-4900
Mailing address
18653 86TH PL N, MAPLE GROVE, MN 55311-1692
(763) 494-3081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1080
MN
Other
Enumeration date
11/15/2006
Last updated
02/05/2021
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