# MR. MICHAEL CONRAD BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831816511
- **Gender:** Man
- **Credential:** RCP, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041494547 | IL | — |
| 163W00000X | Registered Nurse | 2004004424 | MO | — |
| 2279G1100X | General Care Registered Respiratory Therapist | 100275 | MO | Yes |

## Other

- **Enumeration date:** 10/24/2022
- **Last updated:** 10/24/2022