Organization
CHARLES R BARKER JR DO FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT BARKER DO (PRESIDENT/OWNER)
(616) 794-1810
Entity
Organization
Contact information
Practice address
1320 W STATE ST, STE 3A, BELDING, MI 48809-9245
(616) 794-1810
(616) 794-1947
Mailing address
1320 W STATE STREET, SUITE 3A, BELDING, MI 48809-9245
(616) 794-1810
(616) 794-1947
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
CB013251
MI
261QR1300X
Rural Health Clinic/Center
Primary
5101013251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4569538
—
MI
Enumeration date
10/02/2006
Last updated
02/15/2024
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