Individual
DERRICK BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
5473 SANDLEWOOD CT, WATERFORD TOWNSHIP, MI 48329-3487
(406) 214-5724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5151015727
MI
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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