Individual
MICHAEL BRIAN BERES
Active
Individual
MICHAEL BRIAN BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20176
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705979
BLUE CROSS BLUE SHIELD
WV
01
—
180045749
RR MEDICARE
WV
05
—
1802361001
—
WV
01
—
226977
COVENTRY ADVANDTRA FREEDOM
—
01
—
562873
STERLING LIFE
—
Enumeration date
11/02/2005
Last updated
08/21/2012
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