Individual
DR. JEFFREY J. BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 E BROOMFIELD ST STE A, MT PLEASANT, MI 48858-4489
(989) 772-3339
(989) 772-4846
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301052884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962485342
GROUP NPI NUMBER
MI
05
—
2884200
—
MI
01
—
JB052884
STATE LICENSE NUMBER
—
Enumeration date
08/22/2005
Last updated
08/16/2023
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