Organization
VIKTORIYA BARG DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTORIYA BARG DPM (OWNER AND PHYSICIAN)
(248) 996-1020
Entity
Organization
Contact information
Practice address
32910 W 13 MILE RD, STE. C300, FARMINGTON HILLS, MI 48334-1980
(248) 996-1020
(248) 996-1023
Mailing address
32910 W 13 MILE RD, SUITE C300, FARMINGTON HILLS, MI 48334-1980
(248) 996-1020
(248) 996-1023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002190
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164402277
—
MI
01
—
4855012210
BLUECROSS BLUESHIELD NUMB
MI
05
—
4997427
—
MI
Enumeration date
12/11/2006
Last updated
08/13/2013
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