Individual
BARBARA E STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LAFAYETTE SE, STE 4200, GRAND RAPIDS, MI 49503
(616) 685-6922
(616) 685-5105
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4203843
—
MI
05
—
4289098
—
MI
05
—
4394084
—
MI
05
—
4810804
—
MI
05
—
4877250
—
MI
05
—
4877760
—
MI
Enumeration date
07/14/2006
Last updated
06/21/2011
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