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Individual
LAURA MICHELE BERG
Active
Individual
LAURA MICHELE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1060
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367442
AMERICA'S PPO
SD
01
—
42842
SIOUX VALLEY HEALTH PLAN
SD
01
—
4994781
CLASSIC BLUE/BLUE SELECT
SD
05
—
7602330
—
SD
Enumeration date
10/10/2005
Last updated
04/19/2023
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