Healthcare Provider Details

I. General information

NPI: 1558661074
Provider Name (Legal Business Name): THOMAS JOSEPH BARNARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 DOUGALL AVE. BARNARD WELLNESS CENTRE
WINDSOR ONTARIO
N8X1T2
CA

IV. Provider business mailing address

2430 DOUGALL AVE. BARNARD WELLNESS CENTRE
WINDSOR ONTARIO
N8X1T2
CA

V. Phone/Fax

Practice location:
  • Phone: 519-967-8400
  • Fax: 519-967-1276
Mailing address:
  • Phone: 519-967-8400
  • Fax: 519-967-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number4301089207
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: