Individual provider · NPI-1

Michelle Berry

Health Educator · Detroit, MI

NPI number1508561515
StatusActive
Last updated in NPPESMar 31, 2023

Details

NPI
1508561515
Entity type
Individual (NPI-1)
Name
Michelle Berry
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2023
Certification date
Mar 31, 2023
Last updated
Mar 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator–MIYes
174H00000X Health Educator––

Practice location

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Mailing address

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

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