Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 01032173A | IN |
Y | 208800000X | Urologist | 35053503B | OH |
NPI | 1013985316 |
---|---|
Provider Name | Dr. Michael T Berte |
First Address | Middleburg Heights, OH 44130-3639 |
Second Address | Cleveland, OH 44130-3639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0629136 | (05) | OH |
A17323 | (02) |