Individual
THEODORE DALE BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE STE 3300, GRAND RAPIDS, MI 49503-2558
(616) 459-4171
(616) 459-0044
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301079960
MI
Other
Enumeration date
03/20/2007
Last updated
01/30/2024
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