Individual provider · NPI-1
Brian Berger
Radiology, Diagnostic Radiology · Troy, MI
NPI number1114996782
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1114996782
- Entity type
- Individual (NPI-1)
- Name
- Brian Berger
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2006
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 4301059563 | MI | Yes |
Practice location
44201 Dequindre RdTroy, MI 48085-1117
Phone 248-964-5190
Mailing address
26901 Beaumont Blvd # 3-DSouthfield, MI 48033-3849
Phone 248-577-9221
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