Individual
DR. JOLENE KAY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 DEARBORN COURT, EDINA, MN 55343-2000
(612) 718-8984
(210) 426-3787
Mailing address
308 DEARBORN COURT, EDINA, MN 55343-2000
(612) 718-8984
(210) 426-3787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26194
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806479600
—
ID
Enumeration date
07/06/2006
Last updated
11/19/2018
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