Organization
ANDREW H BERRY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HENRY BERRY D.O. (OWNER)
(248) 363-7123
Entity
Organization
Contact information
Practice address
522 W COMMERCE RD, COMMERCE TWP, MI 48382-3923
(248) 363-7123
(248) 363-5890
Mailing address
522 W COMMERCE RD, COMMERCE TWP, MI 48382-3923
(248) 363-7123
(248) 363-5890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101004123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856301
HEALTH PLUS
MI
01
—
1006878-11
MOLINA
MI
05
—
1006878-11
—
MI
01
—
1024847
MCLAREN HEALTH PLAN
—
01
—
104752
GREAT LAKES HEALTH PLAN
MI
01
—
106153
PRIORITY HEALTH
—
01
—
118-1
TOTAL HEALTH CARE
MI
01
—
169643-01
UNITED HEALTH CARE
MI
01
—
5630142
BLUE CARE NETWORK
MI
01
—
5707266
AETNA
—
01
—
E25466
HAP
—
Enumeration date
07/10/2009
Last updated
06/21/2018
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