Individual
MRS. DEBORAH D BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
66707 GRATIOT AVE, LENOX, MI 48050-2019
(586) 727-5840
(586) 727-5897
Mailing address
PO BOX 187, RICHMOND, MI 48062-0187
(586) 727-5840
(586) 727-5897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001869
MI
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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