Individual
DR. FREDERICK IAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 GULL RD, KALAMAZOO, MI 49048-1609
(269) 633-2510
(269) 633-2511
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101018622
MI
208800000X
Urology Physician
L1783455
MI
Other
Enumeration date
07/13/2010
Last updated
08/07/2026
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