Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 5101020316 | MI |
NPI | 1003254798 |
---|---|
Provider Name | Abeer Berry |
First Address | Commerce Township, MI 48382-2201 |
Second Address | Commerce Township, MI 48382-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2013 |
Last Update Date | 03/07/2019 |