Individual
DR. MICHAEL P BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
36377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07836597
—
MS
01
—
1031029981
MEDICARE MS
MS
01
—
103I917534
MEDICARE TN
TN
05
—
126787001
—
AR
05
—
1529828
—
TN
Enumeration date
08/28/2006
Last updated
10/23/2020
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