Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 52568 | MN |
N | 111NI0900X | Internist | 52568 | MN |
Y | 207RC0000X | Internist - Cardiovascular Disease | 52568 | MN |
NPI | 1013984012 |
---|---|
Provider Name | Barry M Cabuay |
First Address | Minneapolis, MN 55407-1139 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H37370 | (02) | MN |