Individual
ANDREA LYNN BERSHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG., MINNEAPOLIS, MN 55455-0356
(612) 625-8625
(612) 624-6678
Mailing address
420 DELAWARE ST SE, DEPARTMENT OF DERMATOLOGY- MMC 98, MINNEAPOLIS, MN 55455-0392
(612) 625-8625
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25727
OK
207N00000X
Dermatology Physician
Primary
53277
MN
Other
Enumeration date
06/19/2007
Last updated
10/29/2010
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