Individual
JENNIFER LYNN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3180
Mailing address
15025 60TH PL N, PLYMOUTH, MN 55446-3678
(612) 720-6244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078704
MN
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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