Individual
GARRETT THOMAS BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
968 INWOOD AVE N, OAKDALE, MN 55128-6625
(651) 578-8588
Mailing address
633 FAIRMOUNT AVE, SAINT PAUL, MN 55105-3518
(715) 497-8408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6679
MN
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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