Organization
BARRY BEAN DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BEAN DPM (PHYSICIAN)
(248) 355-4888
Entity
Organization
Contact information
Practice address
21721 W 11 MILE RD, SOUTHFIELD, MI 48076-3717
(248) 355-4888
(248) 355-2565
Mailing address
21721 W 11 MILE RD, SOUTHFIELD, MI 48076-3717
(248) 355-4888
(248) 355-2565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
BB000712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2581088
—
MI
01
—
4856318250
BCBSM
MI
Enumeration date
05/17/2007
Last updated
07/24/2012
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