Organization
SHORES PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD Y BARNETT DO (OWNER)
(586) 772-7180
Entity
Organization
Contact information
Practice address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 772-7180
(586) 279-0033
Mailing address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 772-7180
(586) 279-0033
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004122882
AETNA
MI
01
—
022739
MIDWEST HEALTH PLAN
MI
01
—
0N67900
HAP,OUT OF NETWORK
MI
01
—
107599PC
CARE CHOICES
MI
01
—
141770
GREAT LAKES HEALTH PLAN
MI
01
—
4541715
MOLINA HEALTH CARE OF MI
MI
05
—
4541715
—
MI
01
—
700EO0079-0
BLUE CROSS BLUE SHIELD
MI
01
—
E83365
HEALTH CHOICE HAP
MI
Enumeration date
02/13/2007
Last updated
07/21/2022
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