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Individual

MR. MICHAEL JOHN BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
3272 E MEADOWVIEW DR, GILBERT, AZ 85298-4313
(480) 203-4365

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN193635
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
235165
AZ
363LC0200X
Critical Care Medicine Nurse Practitioner
235165
AZ
363LG0600X
Gerontology Nurse Practitioner
235165
AZ

Other

Enumeration date
02/27/2020
Last updated
03/18/2022
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