MEDICARE: BARBARA J BRINER DO PLC

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1679649966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA J BRINER DO PLC

Provider Business Mailing Address
First Line	:	6639 CENTURION DRIVE
Second Line	:	SUITE 200
City	:	LANSING
State	:	MI
Zip	:	48917-8273
Country	:	US
Telephone Number	:	517-703-1800
Fax Number	:	517-703-1881

Provider Business Practice Location Address
First Line	:	6639 CENTURION DRIVE
Second Line	:	SUITE 200
City	:	LANSING
State	:	MI
Zip	:	48917-8273
Country	:	US
Telephone Number	:	517-703-1800
Fax Number	:	517-703-1881

Authorized Official
Title or Position	:	OSTEOPATHIC PHYSICIAN
Name	:	BARBARA J BRINER
Credential	:	DO
Telephone Number	:	517-703-1800

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	11/13/2007

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