Individual
DR. LARRY F BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 MITCHELL ROAD, SUITE 200B, EDEN PRAIRIE, MN 55344-1957
(952) 657-5452
(952) 657-5453
Mailing address
7525 MITCHELL ROAD, SUITE 200B, EDEN PRAIRIE, MN 55344-1957
(952) 657-5452
(952) 657-5453
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29521
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342392100
—
MN
Enumeration date
12/28/2005
Last updated
08/05/2010
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