Provider Information for 1174800296
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JOSEPH BARNES
Sex: Male
NPI: 1174800296
Last Updated: 2011-11-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1174800296 | ||||||||
| Enumeration Date | 2011-11-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1326 MAPLEWOOD DR SALINE, MI 48176-1200 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 20600 EUREKA RD SUITE 819 TAYLOR, MI 48180-5343 United States Phone: 734-285-8282 | Fax: | ||||||||
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