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Individual

DR. HOLLY ELIZABETH BERG

Active
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Individual

DR. HOLLY ELIZABETH BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
66170
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
5101027340
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8119321
WI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
29117
MN

Other

Enumeration date
03/27/2018
Last updated
07/21/2023
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