Individual provider · NPI-1

Matthew S Barnes, M.D.

Family Medicine · Plymouth, MN

NPI number1336177963
StatusActive
Last updated in NPPESMay 19, 2016

Details

NPI
1336177963
Entity type
Individual (NPI-1)
Name
Matthew S Barnes
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2006
Last updated
May 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine27676MNYes

Practice location

15655 37th Ave N
Suite 100
Plymouth, MN 55446

Phone 763-587-7900 · Fax 763-587-7701

Mailing address

15655 37th Ave N
Suite 100
Plymouth, MN 55446

Phone 763-587-7900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Plymouth, MN