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Individual

BRENDAN BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2909 E GRAND RIVER AVE STE 302, LANSING, MI 48912-4335
(517) 364-8680
Mailing address
9480 RIDGE BLVD APT 5F, BROOKLYN, NY 11209-6733

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026276
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2018
Last updated
02/15/2022
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