Individual
MICHAEL R BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-1811
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2994
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2024
Last updated
07/02/2024
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