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Individual
DR. MICHAEL D BERRY
Active
Individual
DR. MICHAEL D BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC11854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0118540A
BLUE SHIELD IDENTIFIER
CA
Enumeration date
10/16/2006
Last updated
10/20/2009
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