Individual
DR. EVAN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3559 PINE ST, DECKERVILLE, MI 48427-7703
(810) 376-2835
Mailing address
450 MILLER AVE APT 203, ROCHESTER, MI 48307-6649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101023211
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2017
Last updated
11/15/2022
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