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Individual

MARK G BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1001 E SUPERIOR ST, DULUTH, MN 55802-2207
(218) 249-3057
(218) 249-3091
Mailing address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6840
(515) 576-7726

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
03552
IA
207RI0011X
Interventional Cardiology Physician
Primary
73897
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0432666
IA
Enumeration date
11/18/2005
Last updated
04/09/2026
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