Individual
GRETCHEN VANDEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5565 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1238
(651) 241-9400
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55813
MN
Other
Enumeration date
04/20/2011
Last updated
11/10/2020
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