Provider Demographics
NPI:1902026982
Name:DUNSEATH, BARRIE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRIE
Middle Name:
Last Name:DUNSEATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:WOLVERINE
Mailing Address - State:MI
Mailing Address - Zip Code:49799-0158
Mailing Address - Country:US
Mailing Address - Phone:231-525-8806
Mailing Address - Fax:
Practice Address - Street 1:7162 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:WOLVERINE
Practice Address - State:MI
Practice Address - Zip Code:49799-9618
Practice Address - Country:US
Practice Address - Phone:231-525-8806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1068791207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301052401OtherPERMANENT I.D. NUMBER.