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Individual

DR. JOHN L BARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9151
(269) 429-8010
(269) 408-0986
Mailing address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9151
(269) 429-8010
(269) 408-0986

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301080587
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-30373
PHP
MI
01
160059263
RAILROAD MEDICARE
01
1601103621
BLUE CROSS
MI
01
2351146
CIGNA
05
4661553
MI
Enumeration date
06/26/2006
Last updated
03/07/2023
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