Individual
DR. SUSAN MARIE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 LUBRANO DR, SUITE 201, ANNAPOLIS, MD 21401-7028
(410) 897-1941
(410) 630-8067
Mailing address
128 LUBRANO DR, SUITE 201, ANNAPOLIS, MD 21401-7028
(410) 897-1941
(410) 630-8067
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
4301084883
MI
207RR0500X
Rheumatology Physician
Primary
D0075254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017843
MCLAREN
MI
01
—
110C314380
BLUE CROSS GROUP PIN
MI
01
—
200000007319
PHP OF MICHIGAN
MI
05
—
4857444
—
MI
Enumeration date
06/14/2006
Last updated
01/10/2014
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