Individual
DR. DOMINIC V BARBERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1210 W SAGINAW ST, 2ND FLOOR, LANSING, MI 48915-1927
(517) 364-7700
(517) 364-7701
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
5101010428
MI
2084P0800X
Psychiatry Physician
Primary
5101010428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2753320065
INDIVIDUAL BCBS PIN #
MI
05
—
2988008
—
MI
Enumeration date
01/22/2007
Last updated
02/19/2024
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