Provider Demographics
NPI:1033249255
Name:BUTLER-QUARLES, BARIKA MARISE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARIKA
Middle Name:MARISE
Last Name:BUTLER-QUARLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18530 MACK AVE # 163
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3254
Mailing Address - Country:US
Mailing Address - Phone:313-855-5745
Mailing Address - Fax:313-355-1567
Practice Address - Street 1:18530 MACK AVE
Practice Address - Street 2:116
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48236-3254
Practice Address - Country:US
Practice Address - Phone:313-855-5745
Practice Address - Fax:313-355-1567
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010881192084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0930480OtherBCBS
MI1250684OtherCIGNA
MI600704916OtherMAGELLAN
MI9080659OtherAETNA/COFINITY
MI683816OtherVALUE OPTIONS
MI9080659OtherAETNA/COFINITY