TARA BARRACK PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1104266865- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 9555 UPLAND LN N, MAPLE GROVE, MN, 553694485
- Phone
- (952) 993-1440
Specialties & Taxonomies
Physician Assistant, Surgical
Primary
Physician Assistant
License: MN #11382