Individual
DR. FREDERICK IAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42 N SAINT JOSEPH AVE STE 200, NILES, MI 49120-2203
(269) 684-5447
Mailing address
42 N SAINT JOSEPH AVE STE 200, NILES, MI 49120-2203
(269) 684-5447
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
10/14/2024
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