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NPI Code Detail

MEDICARE: BARBARA A GURDEN DO

MEDICARE: BARBARA A GURDEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5101010215MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063465631
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A GURDEN DO
Provider Business Mailing Address
First Line : 317 E GRAND RIVER RD STE 1
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-8742
Country : US
Telephone Number : 517-651-2801
Fax Number : 517-651-2310
Provider Business Practice Location Address
First Line : 317 E GRAND RIVER RD STE 1
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-8742
Country : US
Telephone Number : 517-651-2801
Fax Number : 517-651-2310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 10/16/2024

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Directions to “ BARBARA A GURDEN DO” Practice Location

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