Kenneth Bark, M.D. Valid NPI
Individual provider · Colon & Rectal Surgery Physician · Rochester Hills, MI
- NPI
- 1932303484
- Type
- Individual (Type 1)
- Primary specialty
- Colon & Rectal Surgery Physician (Colon & Rectal Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208C00000X
- License number
- 4301096256 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-06-11
- Last updated
- 2010-09-21
Practice location
595 Barclay Cir, Suite A
Rochester Hills, MI 48307-5802
(248) 852-8020