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NPI Code Detail

MEDICARE: SAMANTHA NICOLE BARROW PA

MEDICARE: SAMANTHA NICOLE BARROW PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1275290017
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA NICOLE BARROW PA
Provider Business Mailing Address
First Line : 170 W GENESEE ST
Second Line :
City : FRANKENMUTH
State : MI
Zip : 48734-1305
Country : US
Telephone Number : 989-652-7344
Fax Number : 989-652-7355
Provider Business Practice Location Address
First Line : 5212 STONEHENGE DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-2657
Country : US
Telephone Number : 248-404-5599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2021
Last Update Date : 01/19/2026

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