Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 5101008900 | MI |
Y | 207Q00000X | Family Doctor | 5101008900 | MI |
N | 207Q00000X | Family Doctor | LB008900 | MI |
NPI | 1003870031 |
---|---|
Provider Name | Laurie A Barkway |
First Address | Toledo, OH 43604-1558 |
Second Address | Tecumseh, MI 49286-9784 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 04/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0154600205 | BC BS OF MI (01) | MI |
1003870031 | (05) | MI |
4634313 | (05) | MI |
E33197 | (02) | MI |