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Individual

STANLEY BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3535 W 13 MILE RD, STE. 329, ROYAL OAK, MI 48073-6710
(248) 898-5000
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301052533
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160F376970
BCBSM
MI
05
4650952
MI
Enumeration date
03/16/2006
Last updated
07/10/2024
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