Individual
SUSAN S BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6815 DIXIE HWY STE 1, CLARKSTON, MI 48346-2092
(248) 384-8360
(248) 384-8360
Mailing address
5701 BOW POINTE DR STE 315, CLARKSTON, MI 48346-5402
(248) 625-4000
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101011977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510933
—
MI
Enumeration date
04/21/2006
Last updated
11/20/2019
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