Healthcare Provider Details

I. General information

NPI: 1598730962
Provider Name (Legal Business Name): MARY E BARNA DPM & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7445 ALLEN RD SUITE 280
ALLEN PARK MI
48101-1963
US

IV. Provider business mailing address

PO BOX 998
ALLEN PARK MI
48101-0998
US

V. Phone/Fax

Practice location:
  • Phone: 313-388-9205
  • Fax: 313-388-9264
Mailing address:
  • Phone: 248-569-4000
  • Fax: 248-569-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MARY E BARNA
Title or Position: OWNER
Credential: DPM
Phone: 248-569-4000