| Doctor Name: | MICHAEL J BERMAN |
| NPI Number: | 1851449235 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 20A3728 |
| Business Practice Address: | 82365 Highway 111 Suite 3b Indio, CA - 922015600 |
| Business Phone Number: | 7603428433 |
| Business Fax Number: | |
| Mailing Address: | 82365 Highway 111, Suite 3b INDIO |
| State: | CA |
| Postal Code: | 922015600 |
| Phone Number: | 7603428433 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A3728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |