Individual
DR. VANESSA VICTORIA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
Mailing address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10654
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14322
—
ND
01
—
28710
BC/BS
ND
Enumeration date
05/12/2007
Last updated
04/13/2017
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