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Individual

MS. MICHELLE M BERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
2206 LONGO DR STE 107, BELLEVUE, NE 68005-2977
(402) 734-4106
(402) 734-0366
Mailing address
2206 LONGO DR STE 107, BELLEVUE, NE 68005-2977
(402) 734-4106
(402) 734-0366

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
733
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
733
NE PHYSICAN ASST. LICENSE
NE
Enumeration date
05/07/2007
Last updated
07/08/2007
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