Individual
DR. PHILLIP WILLIAM BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11468 MARKETPLACE DR N, SUITE 500, CHAMPLIN, MN 55316-3872
(763) 421-2710
Mailing address
2625 24TH AVE S, # B, GRAND FORKS, ND 58201-6180
(763) 421-2710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5047
MN
111N00000X
Chiropractor
815
ND
Other
Enumeration date
01/02/2008
Last updated
12/15/2016
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