Healthcare Provider Details

I. General information

NPI: 1164605747
Provider Name (Legal Business Name): WALTER BARKEY, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 STONEBRIDGE DR
FLINT MI
48532-5407
US

IV. Provider business mailing address

2303 STONEBRIDGE DR
FLINT MI
48532-5407
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-8041
  • Fax:
Mailing address:
  • Phone: 810-733-8041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State

VIII. Authorized Official

Name: KARIE LYNN BROOKS
Title or Position: OFFICE MANAGER
Credential:
Phone: 810-733-8041