Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 7601000049 | MI |
NPI | 1164042875 |
---|---|
Provider Name | Beth Suzanne Barbeau |
First Address | Ann Arbor, MI 48103-8879 |
Second Address | Ann Arbor, MI 48105-9557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2020 |
Last Update Date | 22/04/2020 |