Individual
PAUL I BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-6417
(269) 341-8743
Mailing address
601 JOHN STREET, SUITE N1200, KALAMAZOO, MI 49007-5341
(269) 341-7979
(269) 341-6261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301087318
MI
207VX0201X
Gynecologic Oncology Physician
036112040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112040
—
IL
05
—
4852967
—
MI
01
—
5700239
BCBS GROUP NUMBER
IL
01
—
K11241
PIN
—
Enumeration date
01/16/2006
Last updated
02/08/2022
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