Individual
JENNA NORENE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 676-5952
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 676-5052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916475608
UNITEDHEALTHCARE
MN
Enumeration date
01/14/2017
Last updated
01/19/2021
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