Individual
KENNETH WILLIAM BAROLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
1030 COUNTRY CLUB DR, SAINT CLAIR SHORES, MI 48082-2937
(586) 943-6814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704382998
MI
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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