Individual
ELIZABETH BERNICE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
(218) 333-5360
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57972
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
02/02/2022
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