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Individual

DR. MATTHEW DAN BERMAN

Active
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Individual

DR. MATTHEW DAN BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001030176
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157342
BLUE CROSS BLUE SHIELD
MO
01
—
322365426
MEDICARE PTAN
MO
Enumeration date
04/24/2007
Last updated
06/17/2014
About Stedi
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