Healthcare Provider Details

I. General information

NPI: 1902026982
Provider Name (Legal Business Name): BARRIE DUNSEATH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7162 SILVER LAKE RD
WOLVERINE MI
49799-9618
US

IV. Provider business mailing address

PO BOX 158
WOLVERINE MI
49799-0158
US

V. Phone/Fax

Practice location:
  • Phone: 231-525-8806
  • Fax:
Mailing address:
  • Phone: 231-525-8806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL1068791
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberL1068791
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: