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Organization

RONALD C BARRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD C BARRY (OWNER)
(989) 791-1634
Entity
Organization

Contact information

Practice address
4677 TOWNE CTR, STE 105, SAGINAW, MI 48604-2846
(989) 791-1634
(989) 791-0428
Mailing address
4677 TOWNE CTR, STE 105, SAGINAW, MI 48604-2846
(989) 791-1634
(989) 791-0428

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301048769
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0730876
BLUE CROSS BLUE SHIELD
MI
05
2745420
MI
Enumeration date
10/30/2007
Last updated
04/02/2021
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