Individual
BARRY A BERSHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10450 185TH ST W, SUITE 300, LAKEVILLE, MN 55044-6686
(952) 892-9500
Mailing address
10450 185TH ST W, SUITE 300, LAKEVILLE, MN 55044-6686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21726
MN
Other
Enumeration date
05/01/2006
Last updated
05/12/2008
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