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Individual
MICHAEL BERSHAK
Active
Individual
MICHAEL BERSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206077
KAISER PERM PROV #
MD
01
—
215486
MAMSI PROVIDER #
MD
01
—
2713483
UNITED PROV #
MD
05
—
382298200
—
MD
01
—
85581
AMERIGROUP PROV #
MD
01
—
J061
BLUE CROSS PROV #
MD
Enumeration date
03/26/2007
Last updated
06/12/2024
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