Individual
MARK E BERNTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30833 NORTH STAR DR. STE 1, BREZZY POINT, MN 56472-4407
(218) 568-4926
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31661
MN
207Q00000X
Family Medicine Physician
5350
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15352
—
ND
01
—
500M5BE
BCBS
MN
05
—
666588800
—
MN
Enumeration date
06/08/2006
Last updated
12/13/2019
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