Individual
DR. JOHN HOWARD BERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 1ST ST NE, NEW PRAGUE, MN 56071-2215
(952) 758-2535
(952) 548-6160
Mailing address
307 9TH ST SE, NEW PRAGUE, MN 56071-1641
(952) 758-2535
(952) 548-6160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18675
MN
207VX0000X
Obstetrics Physician
18675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476368800
—
MN
Enumeration date
11/02/2005
Last updated
07/01/2010
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