Provider Demographics
NPI:1134157720
Name:DROZDOWSKI, BARBARA S (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:DROZDOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2119
Mailing Address - Country:US
Mailing Address - Phone:616-738-3997
Mailing Address - Fax:616-738-3996
Practice Address - Street 1:441 120TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-2119
Practice Address - Country:US
Practice Address - Phone:616-738-3997
Practice Address - Fax:616-738-3996
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078815207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology