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Individual

LAURA MICHELE BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1905 W 57TH ST, STE 103, SIOUX FALLS, SD 57108-2893
(605) 371-3533
(605) 371-1781
Mailing address
1905 W 57TH ST, STE 103, SIOUX FALLS, SD 57108-2893
(605) 371-3533
(605) 371-1781

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1060
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2367442
AMERICA'S PPO
SD
01
42842
SIOUX VALLEY HEALTH PLAN
SD
01
4994781
CLASSIC BLUE/BLUE SELECT
SD
05
7602330
SD
Enumeration date
10/10/2005
Last updated
04/19/2023
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