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Contact Information

BERG VASCULAR PC
22101 MOROSS RD
DETROIT, MI48236-2148
 Phone: 313-343-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for BERG VASCULAR PC

NPI # 1073992715
LBN Legal business name BERG VASCULAR PC
Authorized official RICHARD BERG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2015
Last updated 06/10/2015 - About 11 years ago
Identifiers
MI License # 4301041478
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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