Individual
MARY ELAINE BARNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM PA
Contact information
Practice address
7445 ALLEN RD, SUITE 280, ALLEN PARK, MI 48101-1963
(313) 388-9205
(313) 388-9264
Mailing address
PO BOX 998, ALLEN PARK, MI 48101-0998
(248) 581-4437
(313) 636-2320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001379
MI
363A00000X
Physician Assistant
Primary
5601002407
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P06380002
MEDICARE NUMBER
MI
05
—
1896340
—
MI
01
—
480006536
RR MEDICARE
MI
01
—
480F372880
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/21/2006
Last updated
01/29/2025
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