Individual
DR. ALI A BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 N CANTON CENTER RD, CANTON, MI 48187-5096
(734) 495-1506
(734) 495-1780
Mailing address
43151 DALCOMA DR, CLINTON TWP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301080146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO8072
RAILROAD MEDICARE
MI
Enumeration date
05/12/2006
Last updated
03/04/2024
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