Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK IAN BERG, D.O.
ActiveDR. FREDERICK IAN BERG, D.O. is a Urology healthcare provider located in NILES, Michigan. NPI 1972815348 is currently active in the NPPES registry. Verify at CMS.
Urology · NILES, MI
Registration Details
- NPI Number
- 1972815348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2010 (16.105465021306 yrs)
- Last Updated
- Oct 14, 2024
- Licenses
-
L1783455 (MI)5101018622 (MI)
Practice Information
- Address
-
42 N SAINT JOSEPH AVE STE 200NILES, MI, 491202203Browse MI providers · Browse ZIP 49120
- Phone
- 2696845447
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
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.