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Michael Richard Berry, MD
Orthopedic Surgery Physician in Moline, Illinois
NPI 1114121969

Michael Richard Berry is a Orthopedic Surgery Physician based in Moline, IL. Michael Richard Berry practices in Moline, IL and has the professional credentials of MD. The NPI Number for Michael Richard Berry is 1114121969 and holds a License No. 2006020074 (Illinois).

The current practice location address for Michael Richard Berry is 520 Valley View Dr, Moline, IL and can be reached out via phone at 309-762-3621 and via fax at 309-762-3690.

Location: 520 Valley View Dr, Moline, IL, 61265-6194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114121969
Provider Name
Michael Richard Berry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
520 Valley View Dr, Moline, IL, 61265-6194
Phone Number
309-762-3621
Fax Number
309-762-3690
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
578210011 01 IA MEDICARE PTAN
209395016 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
520 Valley View Dr
City
Moline
State
Illinois
Zip
61265-6194
Phone Number
309-762-3621
Fax Number
309-762-3690
person
Provider Business Mailing Address Details
Address
520 Valley View Dr
City
Moline
State
Illinois
Zip
61265-6194
Phone Number
309-762-3621
Fax Number
309-762-3690
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
39450 (Iowa)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
036127202 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2006020074 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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