Individual
PETER BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
762 WEST 4TH STREET, RUSH CITY, MN 55069
(320) 358-4784
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45666
MN
Other
Enumeration date
09/06/2006
Last updated
05/01/2008
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