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Individual

MR. MICHAEL MATTHEW BARRETT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
26850 PROVIDENCE PKWY STE 140, NOVI, MI 48374-1253
(248) 308-2745
Mailing address
19916 SUNNYSLOPE DR, BEVERLY HILLS, MI 48025-2915
(248) 470-0262

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704309005
MI

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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