IndividualActive
Marisa Bartley, DO
NPI 1104480359 · Sports Medicine (Family Medicine) Physician · Minneapolis, MN
Provider details
- NPI number
- 1104480359
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 74330 (MN)
Practice location
2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450
Phone: (612) 672-7100
Mailing address
2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.