Individual
DR. ROBERT GEORGE BERCIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1767
Mailing address
24077 SETH DR APT B, WAYNESVILLE, MO 65583-3610
(269) 908-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M630900004
MEDICARE ID-TYPE UNSPECIFIED
MI
01
—
RB008714
BCBSM
MI
Enumeration date
01/16/2007
Last updated
08/30/2022
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