Individual
BRYAN JOHN BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NICOLLET AVE., MINNEAPOLIS, MN 55403
(612) 348-9840
(612) 596-7900
Mailing address
525 PORTLAND AVE, HSB MC 952, MINNEAPOLIS, MN 55415-1533
(612) 348-9840
(612) 596-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
32374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753273300
—
MN
Enumeration date
10/19/2006
Last updated
08/07/2013
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