Individual
MICHAEL I BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18700 N 64TH DR, STE 301, GLENDALE, AZ 85308-7114
(623) 561-5437
(623) 561-9320
Mailing address
18700 N 64TH DR, STE 301, GLENDALE, AZ 85308-7114
(623) 561-5437
(623) 561-9320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057613
—
AZ
Enumeration date
05/31/2005
Last updated
07/27/2011
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