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Tara Barrack, PA-C
NPI 1104266865 · on the registry since 2013
Practice
- Address
- 9555 Upland Ln N
Maple Grove, MN 55369 - Phone
- (952) 993-1440
- Organisation at this address
- Park Nicollet
Park Nicollet
Relevium Chiropractic Care Pa
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 2090 Woodwinds Dr Ste 200, Woodbury, MN
- 8100 Northland Dr, Bloomington, MN
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Physician Assistant
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota