Healthcare Provider Details

I. General information

NPI: 1770524886
Provider Name (Legal Business Name): WALTER F BARKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2256 W HILL RD
FLINT MI
48507-4655
US

IV. Provider business mailing address

2256 W HILL RD
FLINT MI
48507-4655
US

V. Phone/Fax

Practice location:
  • Phone: 810-249-7546
  • Fax: 810-244-3376
Mailing address:
  • Phone: 810-249-7546
  • Fax: 810-244-3376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301045627
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: