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Individual

DR. JOHN ANDREW BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 CALUMET AVE SW, DESMET, SD 57231
(605) 854-9100
(605) 854-9238
Mailing address
221 CALUMET AVE SW, DESMET, SD 57231
(605) 854-9100
(605) 854-9238

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4247
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23509
SIOUX VALLEY
01
4996058
SD BLUE SHIELD
05
5602487
SD
Enumeration date
01/25/2006
Last updated
01/02/2008
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