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Organization

MINNESOTA BONE AND JOINT SPECIALISTS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK M BERT M.D. (PRESIDENT)
(763) 416-0676
Entity
Organization

Contact information

Practice address
9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4200
(763) 416-0676
(763) 416-0476
Mailing address
9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4200
(763) 416-0676
(763) 416-0476

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477838530
NPI
MN
Enumeration date
10/19/2011
Last updated
12/14/2011
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