Individual
DR. WALTER JESSE BERGER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
2101 ELM ST N, VA MEDICAL CENTER, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, VA MEDICAL CENTER, FARGO, ND 58102-2417
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12923
—
ND
Enumeration date
10/25/2006
Last updated
04/17/2008
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