Brendan Barnes
Family Medicine in Lansing, MI. Individual provider (NPI-1).
NPI number1073018917
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1073018917
- Entity type
- Individual (NPI-1)
- Name
- Brendan Barnes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2018
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101026276 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2909 E Grand River Ave Ste 302Lansing, MI 48912-4335
Phone 517-364-8680
Mailing address
9480 Ridge Blvd Apt 5fBrooklyn, NY 11209-6733
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