# JACK M BERT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodbury Bone and Joint
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942598016
- **Authorized official:** JACK M BERT MD (PRESIDENT)
- **Authorized official phone:** (651) 491-9303

## Contact information

- **Practice address:** 2025 WOODLANE DR, WOODBURY, MN 55125-2987
- **Practice address phone:** (651) 492-6762
- **Mailing address:** 2025 WOODLANE DR, WOODBURY, MN 55125-2987
- **Mailing address phone:** (651) 492-6762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 21554 | MN | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 01/15/2019
