Michael Richard Berry, MD

NPI #1114121969 in Moline, Illinois

Provider Information

NPI Number: 1114121969
Entity Type: Individual
Name: Michael Richard Berry, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 14, 2007
Last Updated: Aug 15, 2011

Practice Location

Address: 520 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6194
Phone: (309) 762-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery	207X00000X	Primary

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