Laura Beth Berg CRNA

NPI 1780014936 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1780014936
Gender Female
Enumeration Date 11/24/2013
Last Updated 02/09/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
44201 DEQUINDRE RD
TROY MI, 48085-1117, US
Phone (248) 964-3000
Fax (248) 964-8448
Business Location
44201 DEQUINDRE RD
TROY MI, 48085-1117, US
Phone (248) 964-3000
Fax (248) 964-8448
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704265908
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According to our database, Laura Beth Berg CRNA NPI is 1780014936, taxonomy code is 367500000X and license number is 4704265908, license state is located at Michigan. Laura Beth Berg CRNA physically located at 44201 Dequindre Rd, Troy MI, 48085-1117. NPI Number Laura Beth Berg CRNA has the Individual type.

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1780014936 NPI number is provided on an as is basis without warranty of any kind. 1780014936 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Beth Berg CRNA are for informational purposes only.