Individual
PERRY BERHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13393
MEDICA
MN
01
—
01Q58BE
BCBS/MEDICARE SUPPLEMENT
MN
05
—
07Q58BE
—
MN
05
—
118121
—
MN
01
—
4042
AVERA
MN
01
—
595810
ARAZ
MN
05
—
78816300
—
MN
05
—
959478
—
MN
01
—
A026
CHAMPUS
MN
01
—
HP50065
HEALTH PARTNERS
MN
01
—
MH9041001158
PPO
MN
Enumeration date
12/01/2005
Last updated
07/09/2007
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