Individual
MACKENZIE BERNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80684
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/20/2026
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