Individual
BARRY BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21721 W 11 MILE RD, SOUTHFIELD, MI 48076-3717
(248) 355-4888
(313) 355-2565
Mailing address
21721 W 11 MILE RD, SOUTHFIELD, MI 48076-3717
(248) 355-4888
(313) 355-2565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
BB000712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507818
—
MI
01
—
4856318250
BCBSM
MI
Enumeration date
07/04/2006
Last updated
09/09/2008
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