Organization · Type 2 NPI
Berg Vascular PC
Vascular Surgery Physician · Detroit, MI
NPI number
1073992715
Active
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
29519 Harper Ave
St. Clair Shores, MI 48081-1275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 4301041478 (MI) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1073992715
Berg Vascular PC's National Provider Identifier is 1073992715, issued on May 27, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Detroit, MI. The record was last updated on Jun 10, 2015.