Organization
UNIVERISTY OF MINNESOTA DULUTH
Active
Other names
UMD Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH BERLO (ASST ATH DIR FOR SPORTS MEDICINE)
(218) 726-8637
Entity
Organization
Contact information
Practice address
1216 ORDEAN CT, DULUTH, MN 55812-3032
(218) 726-8709
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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