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Individual

ANTONIO RICHARD BARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5717 OAKLAND DR STE A, PORTAGE, MI 49024
(269) 218-2443
Mailing address
7668 ASPEN LN, KALAMAZOO, MI 49009-3944
(989) 284-9478

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009203
MI

Other

Enumeration date
08/03/2019
Last updated
08/13/2019
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