Individual
ALPHONSO BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23550 HAGGERTY RD, FARMINGTON HILLS, MI 48335-2614
(248) 381-8081
(734) 402-0254
Mailing address
23550 HAGGERTY RD, FARMINGTON HILLS, MI 48335-2614
(248) 381-8081
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4605652
—
MI
Enumeration date
01/25/2006
Last updated
03/09/2009
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