Individual
DR. MICHAEL ANTHONY BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 FOREST PARK AVE, STE 1100, SAINT LOUIS, MO 63108-2979
(314) 333-4100
(314) 333-4115
Mailing address
PO BOX 7412037, CHICAGO, IL 60674-2037
(314) 333-4100
(314) 333-4115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5J82
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
R5J82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202637104
—
MO
Enumeration date
07/14/2006
Last updated
04/15/2025
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