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1124019997
MICHAEL BRIAN BERES
LOGAN, WV
NPI
1124019997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WV 20176)
Enumeration Date
2005-11-02
Last Update Date
2012-08-21
Business Address
-- MICHAEL BRIAN BERES MD
77 HOSPITAL DR SUITE 400
LOGAN, WV 25601-3451
Phone number: 304-792-1480
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Mailing Address
-- MICHAEL BRIAN BERES MD
PO BOX 116
LOGAN, WV 25601-0116
Phone number: 304-792-1480
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