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Individual

MR. MATTHEW DAVID BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
901 9TH ST N, SUITE 100, VIRGINIA, MN 55792-2325
(218) 749-9405
(218) 749-9407
Mailing address
901 9TH ST N, SUITE 100, VIRGINIA, MN 55792-2325
(218) 749-9405
(218) 749-9407

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6774
MN

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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