Individual
JEREMY DEAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4840 F ST, OMAHA, NE 68117-1407
(402) 731-4145
(402) 731-8653
Mailing address
4840 F ST, OMAHA, NE 68117-1407
(402) 731-4145
(402) 731-8653
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
32760
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.136417
OH
390200000X
Student in an Organized Health Care Education/Training Program
221
SD
Other
Enumeration date
04/23/2015
Last updated
08/31/2021
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