Tara Barrack, PA-C
Surgical PA · Maple Grove, MN
UnclaimedPA-CNPI 1104266865
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2013-06-26
- Practice location
- Maple Grove, MN
- Last NPPES update
- 2020-04-14
State licenses
- MN · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.