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Individual

ANTHONY BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
516 15TH AVE SE, MINNEAPOLIS, MN 55455-0130
(612) 624-4527
Mailing address
1354 COACH RD APT 318, SAINT PAUL, MN 55108-5317
(402) 540-8669

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MN

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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