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Search › Michigan › 104100000X

Miracle Berry

NPI 1447125083 · on the registry since 2025

Practice

Address
10201 E Jefferson Ave
Detroit, MI 48214
Phone
(313) 446-8980
Fax
(313) 499-8389
Organisation at this address
Team Cares Pharmacy Llc
Detroit Riverview Pediatrics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan