Individual
MR. RONALD J BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.EQ., LP
Contact information
Practice address
2104 NORTHDALE BLVD NW, SUITE 220, MINNEAPOLIS, MN 55433-3028
(763) 537-6000
Mailing address
5212 ABERCROMBIE DR, EDINA, MN 55439-1451
(952) 944-7284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
965747900
MINNESOTA PROVIDER NUMBR
MN
Enumeration date
02/13/2007
Last updated
02/19/2009
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