Organization
CLARENCE RICHARD BARNETT MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE RICHARD BARNETT M.D. (OWNER)
(616) 374-8881
Entity
Organization
Contact information
Practice address
1020 4TH AVE, LAKE ODESSA, MI 48849-1004
(616) 374-8881
(616) 374-4220
Mailing address
1020 4TH AVE, LAKE ODESSA, MI 48849-1004
(616) 374-8881
(616) 374-4220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CB047150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0340028
BCBS
MI
01
—
135
PRIORITY HEALTH
MI
01
—
200000001213
PHYSICIANS HEALTH PLAN
MA
05
—
4847930
—
MI
Enumeration date
03/07/2007
Last updated
08/22/2020
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