Individual
LAURA BETH BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3000
(248) 964-8448
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3000
(248) 964-8448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704265908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295301133
—
MI
05
—
1780923128
—
MI
05
—
1962463133
—
MI
Enumeration date
11/24/2013
Last updated
10/23/2024
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