NPI 1083739205

Theodore Dale Barber, MD

Practitioner Urology Physician Grand Rapids, MI

Practice location

Address: 25 Michigan St NE STE 3300, Grand Rapids, MI 49503-2558
Phone: (616) 459-4171
Fax: (616) 459-0044
Mailing address: 20952 E 12 Mile Rd STE 200, Saint Clair Shores, MI 48081-3203

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 4301079960 (MI)

Other Urology providers in Michigan →

Registry record

NPI: 1083739205
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2007
Record last updated: 30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.