Individual
KELSEY SUZANNE BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 JACKSON ST # MS 11502V, SAINT PAUL, MN 55101-2502
(651) 254-7980
(651) 254-7990
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55425-4516
(269) 337-6441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60669
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2010
Last updated
03/17/2018
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