Individual
SCOTT CARY BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON SE, GRAND RAPIDS, MI 49503
(616) 364-6700
(616) 364-4960
Mailing address
PO BOX 186, GRAND RAPIDS, MI 49501
(616) 364-6700
(616) 364-4960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301056133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651173100
—
MI
Enumeration date
07/31/2006
Last updated
08/20/2007
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