Individual
DR. WILLIAM A BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT RECEVING HOSPITAL EMERGENCY DEPT.--3R, DETROIT, MI 48201-2153
(313) 745-3331
(313) 745-3653
Mailing address
4201 SAINT ANTOINE ST, DETROIT RECEIVING HOSPITAL EMERGENCY DEPT.--3R, DETROIT, MI 48201-2153
(313) 745-3331
(313) 745-3653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301044761
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301044761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101987768
—
MI
05
—
103309614
—
MI
01
—
WB044761
BC/BS OF MICHIGAN
MI
Enumeration date
06/12/2006
Last updated
06/18/2010
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