Individual
KEVIN J BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23050 WEST ROAD, STE 120, BROWNSTOWN TWP, MI 48183-1470
(734) 671-1510
(734) 671-1570
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101011297
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101011297
MI
207RI0011X
Interventional Cardiology Physician
5101011297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27585
BLUE CROSS
MI
05
—
343818411
—
MI
Enumeration date
11/30/2006
Last updated
02/21/2017
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