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Individual

DANIEL J BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7800
(319) 353-8383
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7800
(319) 353-8383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26295
IA
207RH0003X
Hematology & Oncology Physician
Primary
26295
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0125773
IA
01
51534
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
11/28/2007
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