Individual
JAY M BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26400 W 12 MILE RD, SUITE 140, SOUTHFIELD, MI 48034-1753
(248) 352-8200
(248) 356-8255
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 352-8200
(248) 356-8255
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301039830
MI
Other
Enumeration date
06/01/2006
Last updated
05/19/2016
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