Organization
BERG VASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BERG MD (OWNER)
(586) 285-5783
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
(586) 270-5100
(586) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301041478
MI
Other
Enumeration date
05/27/2015
Last updated
06/10/2015
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