Individual
DR. JERICA BERGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
UMPHYSICIANS BROADWAY FAMILY MEDICINE, 1020 WEST BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 302-8275
Mailing address
UMPHYSICIANS BROADWAY FAMILY MEDICINE, 1020 WEST BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 302-8275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044097
PREFERRED ONE
MN
01
—
136417
UCARE
MN
05
—
40992300
—
WI
01
—
62-66860
UBH
MN
01
—
HP37859
HEALTHPARTNERS
MN
Enumeration date
06/16/2006
Last updated
07/09/2007
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