# MINNESOTA BONE AND JOINT SPECIALISTS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477838530
- **Authorized official:** DR. JACK M BERT M.D. (PRESIDENT)
- **Authorized official phone:** (763) 416-0676

## Contact information

- **Practice address:** 9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4200
- **Practice address phone:** (763) 416-0676
- **Practice address fax:** (763) 416-0476
- **Mailing address:** 9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4200
- **Mailing address phone:** (763) 416-0676
- **Mailing address fax:** (763) 416-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 12/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1477838530 | NPI | MN |