Individual
MS. KRYSTA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(289) 985-4632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13443
MN
363A00000X
Physician Assistant
5601007500
MI
Other
Enumeration date
08/17/2015
Last updated
08/12/2020
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