# BERG VASCULAR PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073992715
- **Authorized official:** RICHARD BERG MD (OWNER)
- **Authorized official phone:** (586) 285-5783

## Contact information

- **Practice address:** 22101 MOROSS RD, DETROIT, MI 48236-2148
- **Practice address phone:** (313) 343-4000
- **Mailing address:** 29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
- **Mailing address phone:** (586) 270-5100
- **Mailing address fax:** (586) 270-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 4301041478 | MI | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 06/10/2015