Provider Demographics
NPI:1699952390
Name:WALTER BARKEY MD PLLC
Entity type:Organization
Organization Name:WALTER BARKEY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-8041
Mailing Address - Street 1:2256 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4655
Mailing Address - Country:US
Mailing Address - Phone:810-249-7546
Mailing Address - Fax:810-244-3376
Practice Address - Street 1:2256 W HILL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4655
Practice Address - Country:US
Practice Address - Phone:810-249-7546
Practice Address - Fax:810-244-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301045627207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric DermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0702513831OtherBCBSMI
MI0702513831OtherBCBSMI
MIB44228Medicare UPIN