Individual
DR. MICHAEL BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 FOWLER WAY, STE 4, PLACERVILLE, CA 95667-5738
(530) 626-5421
(530) 626-4265
Mailing address
1000 FOWLER WAY, STE 4, PLACERVILLE, CA 95667-5738
(530) 626-5421
(530) 626-4265
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G61350
CA
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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