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NPI Code Detail

MEDICARE: MEGAN BERRA

MEDICARE:   MEGAN  BERRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorB600599843959MI

General Provider Information

NPI Number : 1861318420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BERRA
Provider Business Mailing Address
First Line : 2105 CAMPUS VILLAGE AVE APT 4
Second Line :
City : SAGINAW
State : MI
Zip : 48604-8802
Country : US
Telephone Number : 248-826-4916
Fax Number :
Provider Business Practice Location Address
First Line : 955 CAMPUS DR N
Second Line :
City : WATERFORD
State : MI
Zip : 48328-2754
Country : US
Telephone Number : 248-475-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2026
Last Update Date : 06/27/2026

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Directions to “ MEGAN BERRA ” Practice Location

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