Individual
ALLAN WALTER BARBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3304 COOLEY CT, PORTAGE, MI 49024
(269) 349-2266
Mailing address
3304 COOLEY CT, PORTAGE, MI 49024-7430
(269) 349-2266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301406927
MI
207RG0100X
Gastroenterology Physician
01040132
IN
207RG0100X
Gastroenterology Physician
Primary
4301406927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670101
ANTHEM
IN
05
—
100355770
—
IN
01
—
P00916064
R.R. MEDICARE
IN
Enumeration date
05/05/2006
Last updated
08/30/2019
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