Organization
SUSAN S BARNES, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN SEYMOUR BARNES D.O. (PRESIDENT)
(248) 535-0955
Entity
Organization
Contact information
Practice address
585 E FLINT ST, LAKE ORION, MI 48362-3209
(248) 693-0505
Mailing address
PO BOX 404, CLARKSTON, MI 48347-0404
(248) 535-0955
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI1021
MEDICARE IDENTIFICATION NUMBER
MI
Enumeration date
08/08/2008
Last updated
10/04/2013
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