Individual
LONNIE WILLIAM BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38597
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255016400
—
MN
Enumeration date
01/11/2006
Last updated
02/17/2017
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