IndividualActive
Alisa Bardo-Martinson, MD
NPI 1417934969 · Hospice and Palliative Medicine (Internal Medicine) Physician · Minneapolis, MN
Provider details
- NPI number
- 1417934969
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 47611 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
800 E 28th St
Minneapolis, MN 55407-3723
Phone: (651) 635-9173
Fax: (651) 628-2999
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.