Individual
GLORIA J BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
831 S BROADWAY, MINOT, ND 58701-4636
(701) 857-5703
(701) 857-5909
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R17322
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19546
—
ND
Enumeration date
10/11/2006
Last updated
04/16/2023
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