Daniel R Berg Md Pc

NPI 1013086792 - Internal Medicine - 207R00000X

NPI Details
NPI 1013086792
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANIEL R DANIEL
Position OWNER
Phone (812) 335-1824
Fax (812) 335-1825
Practice Location
2620 NORTH WALNUT STREET
SUITE 400
BLOOMINGTON IN, 47404, US
Phone (812) 335-1824
Fax (812) 335-1825
Business Location
2620 NORTH WALNUT STREET
SUITE 400
BLOOMINGTON IN, 47404, US
Phone
Fax (812) 335-1825
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01030985A
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According to our database, Daniel R Berg Md Pc NPI is 1013086792, taxonomy code is 207R00000X and license number is 01030985A, license state is located at Indiana. Daniel R Berg Md Pc physically located at 2620 North Walnut Street, Bloomington IN, 47404. NPI Number 1033115704 has the healthcare provider type.

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1013086792 NPI number is provided on an as is basis without warranty of any kind. 1013086792 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel R Berg Md Pc are for informational purposes only.