Individual
EDWARD JOHN BERMINGHAM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 PLYMOUTH RD, STE 250, HOPKINS, MN 55305-2366
(952) 593-9818
Mailing address
2000 PLYMOUTH RD, STE 250, HOPKINS, MN 55305-2366
(952) 593-9818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10367
MN
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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