Individual
BROCK PATRICK BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
(269) 985-1000
Mailing address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260846
MI
363LF0000X
Family Nurse Practitioner
4704260846
MI
Other
Enumeration date
08/01/2023
Last updated
01/26/2024
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