Gary L Berg D.O.

NPI 1083698997 - Internal Medicine - 207RP1001X

NPI Details
NPI 1083698997
Gender Male
Enumeration Date 12/05/2005
Last Updated 05/21/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
27483 DEQUINDRE RD
SUITE 210
MADISON HEIGHTS MI, 48071-3491, US
Phone (248) 398-4081
Fax (248) 398-4527
Business Location
27483 DEQUINDRE RD
SUITE 210
MADISON HEIGHTS MI, 48071-3491, US
Phone (248) 398-4081
Fax (248) 398-4527
Toxanomy
Taxonomy Code 207RP1001X
License State Michigan
License Number 5101008535
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According to our database, Dr. Gary L Berg D.O. NPI is 1083698997, taxonomy code is 207RP1001X and license number is 5101008535, license state is located at Michigan. Gary L Berg D.O. physically located at 27483 Dequindre Rd, Madison Heights MI, 48071-3491. NPI Number Gary L Berg D.O. has the Individual type.

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1083698997 NPI number is provided on an as is basis without warranty of any kind. 1083698997 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Berg D.O. are for informational purposes only.