Individual
JEREMY DEAN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009
MO
208600000X
Surgery Physician
Primary
57694
MN
Other
Enumeration date
06/11/2009
Last updated
07/09/2020
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