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Individual

ROBERT L BARRY

Active
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Individual

ROBERT L BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RB056400
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4914854
MI
01
612951200
DEPARTMENT OF LABOR
MI
01
700E110080
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
P00452335
RAILROAD MEDICARE
MI
Enumeration date
08/12/2005
Last updated
10/12/2020
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