Individual
CHRISTINE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
955 US HIGHWAY 31 S, KEWADIN, MI 49648-9371
(231) 264-0762
Mailing address
PO BOX 213, CADILLAC, MI 49601-0213
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704119914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008764960
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/01/2006
Last updated
09/26/2007
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