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Individual

DR. MICHAEL ALAN BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1625 N ALSTON ST, FOLEY, AL 36535-2208
(251) 970-1954
(251) 970-1960
Mailing address
1625 N ALSTON ST, FOLEY, AL 36535-2208
(251) 970-1954
(251) 970-1960

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12151
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000034907
AL
01
0510-34907
BCBS
AL
01
0515-13766
BCBS
AL
01
100015318
RAILROAD MEDCARE
AL
01
2910028
UNITED HEALTHCARE
AL
01
5581199
AETNA
AL
Enumeration date
07/13/2005
Last updated
05/13/2020
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