Individual
DR. JODY BERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
1724 MINNESOTA AVE, DULUTH, MN 55802-2434
(218) 590-6827
Mailing address
1724 MINNESOTA AVE, DULUTH, MN 55802-2434
(218) 590-6827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00698
MINNESOTA VETERINARY MEDICINE LICENSING BOARD
MN
01
—
407931
WISCONSIN VETERINARY EXAMINING BOARD
WI
Enumeration date
09/09/2021
Last updated
09/09/2021
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