Individual
DR. MARY C. BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
31835 124TH ST, SUITE A, PRINCETON, MN 55371-3316
(763) 631-3070
Mailing address
PO BOX 95, PRINCETON, MN 55371-0095
(763) 631-3070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4094
MN
111N00000X
Chiropractor
8666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520082200
—
MN
Enumeration date
11/24/2006
Last updated
06/08/2011
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