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NPI Code Detail

MEDICARE: MRS. MENDY EVONNE BARKER ASSOCIATES

MEDICARE:  MRS. MENDY EVONNE BARKER  ASSOCIATES
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
1251X00000XSupports Brokerage AgencyMI

General Provider Information

NPI Number : 1598628562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MENDY EVONNE BARKER ASSOCIATES
Provider Business Mailing Address
First Line : 22105 AVALON ST
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-3505
Country : US
Telephone Number : 248-525-2737
Fax Number :
Provider Business Practice Location Address
First Line : 22105 AVALON ST
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-3505
Country : US
Telephone Number : 248-525-2737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “ MRS. MENDY EVONNE BARKER ASSOCIATES” Practice Location

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