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Individual

DR. ANDREW HENRY BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO PC

Contact information

Practice address
522 W COMMERCE RD, COMMERCE TWP, MI 48382-3923
(248) 363-7123
(248) 363-5890
Mailing address
522 W COMMERCE RD, COMMERCE TWP, MI 48382-3923
(248) 363-7123
(248) 363-5890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AB004123
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000001040
CAPE MEDICAL
01
0856301
HEALTH PLUS
01
104752
GREAT LAKES HEALTH PLAN
01
106153
CARE CHOICES
01
1078
MIDWEST HEALTH PLAN
01
1181
TOTAL HEALTH CARE
01
16964301
UNITED HEALTH CARE
01
38617261
HUMANA HEALTH CARE
01
5630142
BLUE CROSS BLUE SHIELD
01
5707266
AETNA
01
E25466
HAP
Enumeration date
07/12/2006
Last updated
07/08/2007
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