Organization
BERKLEY PRIMARY CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY S VACHERESSE (OFFICE MANAGER)
(248) 543-6000
Entity
Organization
Contact information
Practice address
26711 WOODWARD AVE STE 103, HUNTINGTON WOODS, MI 48070-1367
(248) 543-6000
(248) 543-3770
Mailing address
26711 WOODWARD AVE STE 103, HUNTINGTON WOODS, MI 48070-1367
(248) 543-6000
(248) 543-3770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
MI
Other
Enumeration date
02/20/2007
Last updated
02/03/2015
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