Individual
BRIAN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5190
Mailing address
26901 BEAUMONT BLVD # 3-D, SOUTHFIELD, MI 48033-3849
(248) 577-9221
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301059563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
3280801
—
MI
Enumeration date
03/16/2006
Last updated
10/07/2022
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