Individual
BRENT BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 302-4345
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
69018
MN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
69018
MN
Other
Enumeration date
07/27/2012
Last updated
03/15/2024
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