Doctor Name: | DR. DEREK ALAN BARKER |
NPI Number: | 1649408998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | 5901002322 |
Business Practice Address: | 4200 Division Ave N Comstock Park, MI - 493219546 |
Business Phone Number: | 6162523000 |
Business Fax Number: | 6162521666 |
Mailing Address: | 2122 Health Dr Sw, Suite 230 WYOMING |
State: | MI |
Postal Code: | 495199698 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901002322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |