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Marisa Bartley, DO

Family Medicine, Sports Medicine in Minneapolis, MN. Individual provider (NPI-1).

NPI number1104480359
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1104480359
Entity type
Individual (NPI-1)
Name
Marisa Bartley
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2019
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine74330MNYes

Practice location

2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450

Phone 612-672-7100

Mailing address

2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450

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