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Individual

MICHAEL DEAN BARNES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
NP FNP BC MSN

Contact information

Practice address
1106 N MAIN ST, SIKESTON, MO 63801-5046
(573) 471-8656
(573) 471-8491
Mailing address
1106 N MAIN ST, SIKESTON, MO 63801-5046
(573) 471-8656
(573) 471-8491

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN153576
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
182686
BLUE CROSS
01
639247
HEALTHLINK
01
P00162719
RR MEDICARE
01
RN153576
LICENSE
MO
Enumeration date
10/17/2005
Last updated
07/08/2007
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