Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA09317700 | NJ |
Y | 207X00000X | Orthopaedic Surgeon | 51856 | MN |
N | 207X00000X | Orthopaedic Surgeon | MD448818 | PA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 3512380 | OH |
NPI | 1215192273 |
---|---|
Provider Name | Jonathan David Barlow |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 12/08/2020 |