Eduardo V Barlan, MD
Individual provider Active NPI Surgery Physician · Manistee, MI
NPI 1710067012 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710067012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301038433 (MI)
- Practice address
- 1293 E Parkdale Ave
Suite 2300
Manistee, MI 49660-8904 - Phone
- (231) 398-1740
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Shore Health Centers Corporation | Past | Accepting new patients | |
| West Shore Health Centers Corporation | Past | Accepting new patients | |
| West Shore Health Centers Corporation | Past | Accepting new patients | |
| Munson Healthcare Manistee Hospital | Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301038433 | MI | Yes |
Addresses
Primary practice location
1293 E Parkdale Ave
Suite 2300
Manistee, MI 49660-8904
Mailing address
1293 E Parkdale Ave
Suite 2300
Manistee, MI 49660-8904
Phone (231) 398-1740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4841954 | Medicaid | MI | |
| 0205115221 | Other | MI | BCBS PIN |
Other providers in Manistee, MI
- Taylor Babashka
- Baldwin Family Health Care
- Kevin Ballmer
- Erin Elizabeth Barbus
- James Barczewski
- Ruben Michael Barroso
- Shauna Elisse Barroso
- Robert L Barry
- Margaret R Batzer
- Theodore N Batzer
All providers in Manistee, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.