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Individual

DR. JILL M BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3022 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48910-2695
(517) 253-1304
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(313) 723-6000
(313) 424-4058

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35061601
OH
207R00000X
Internal Medicine Physician
Primary
4301507790
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126689
OH
Enumeration date
09/15/2005
Last updated
10/20/2025
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