DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW THOMAS BERWICK

Active Sole Proprietor

Sports Medicine (EM) · DETROIT, MI

Registration Details

NPI Number
1457794836
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2013 (13.015822710186 yrs)
Last Updated
Jan 19, 2018
Licenses
4301103580 (MI)
4301103580 (MI)
Sole Proprietor
Yes

Practice Information

Address
6071 W OUTER DR
DETROIT, MI, 482352624
Browse MI providers · Browse ZIP 48235
Phone
3139661020
Primary Specialty
Sports Medicine (EM)
207PS0010X
Additional Specialty
Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.