Individual
MICHAEL P BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 WEST RIVERSIDE, #280, SPOKANE, WA 99201
(509) 838-2757
(509) 838-2184
Mailing address
421 WEST RIVERSIDE, #280, SPOKANE, WA 99201
(509) 838-2757
(509) 838-2184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067602
—
WA
Enumeration date
04/06/2006
Last updated
07/16/2010
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