Berkley Primary Care, Plc

NPI #1316082399 in Huntington Woods, Michigan

Provider Information

NPI Number: 1316082399
Entity Type: Organization
Organization Name: Berkley Primary Care, Plc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 20, 2007
Last Updated: Feb 3, 2015

Practice Location

Address: 26711 WOODWARD AVE STE 103
City: Huntington Woods
State: Michigan
ZIP Code: 48070-1367
Phone: (248) 543-6000

Authorized Official

Name: MS. TERRY S VACHERESSE
Title: OFFICE MANAGER
Phone: (248) 543-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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