Individual
DR. TANAE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5862N HIGHWAY 70, STONE LAKE, WI 54876-8939
(715) 205-5560
Mailing address
2357 COUNTY ROAD SS, RICE LAKE, WI 54868-9314
(715) 205-5560
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
5736-12
WI
Other
Enumeration date
05/12/2020
Last updated
11/06/2023
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