ANDREW J BARKER DO PC
Physical Therapy at Kenmoor Ave, Grand Rapids, MI

License number
Michigan 5101015459
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: ANDREW JASON BARKER DO
Title: PRESIDENT
Phone: (616) 301-3479
Address
Address
771 Kenmoor Ave SE, Grand Rapids, MI 49546
National Provider ID: 1093826984
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANDREW J. BARKER, D.O., PC

Grand Rapids, MI

Status:
Inactive
Registration:
Jul 18, 2006
Addresses:
771 Kenmoor SE, Grand Rapids, MI 49546 (Physical)
Michigan (Mailing)
State ID:
41328A
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2012
Agent:
Andrew J Barker Do

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