Individual
DR. RICHARD A BEREZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2026
(616) 774-9515
(616) 774-7116
Mailing address
1300 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2026
(616) 774-9515
(616) 774-7116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RB038229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1341087
—
MI
Enumeration date
08/20/2006
Last updated
11/30/2009
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