Healthcare Provider Details

I. General information

NPI: 1962495614
Provider Name (Legal Business Name): DANIEL F BARNAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 W KING ST SUITE M
OWOSSO MI
48867-2100
US

IV. Provider business mailing address

802 W KING ST SUITE M
OWOSSO MI
48867-2100
US

V. Phone/Fax

Practice location:
  • Phone: 989-725-9846
  • Fax:
Mailing address:
  • Phone: 989-725-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301076408
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: