Individual
CRAIG BERGH
Active
Individual
CRAIG BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R142187-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F96BE
BLUE CROSS OF MN
MN
05
—
803519900
—
MN
Enumeration date
04/20/2006
Last updated
10/13/2017
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