Individual
ERIN REBECCA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 BRETON RD SE, SUITE 102, KENTWOOD, MI 49508-5262
(616) 391-9700
(616) 391-9707
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6557
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0850003872
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770892093
—
MI
Enumeration date
10/04/2010
Last updated
03/10/2021
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