# CHARLES R BARKER JR DO FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962595546
- **Authorized official:** CHARLES ROBERT BARKER DO (PRESIDENT/OWNER)
- **Authorized official phone:** (616) 794-1810

## Contact information

- **Practice address:** 1320 W STATE ST, STE 3A, BELDING, MI 48809-9245
- **Practice address phone:** (616) 794-1810
- **Practice address fax:** (616) 794-1947
- **Mailing address:** 1320 W STATE STREET, SUITE 3A, BELDING, MI 48809-9245
- **Mailing address phone:** (616) 794-1810
- **Mailing address fax:** (616) 794-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | CB013251 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | 5101013251 | MI | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 02/15/2024