Organization
JACK M BERT MD PA
Active
Other names
Woodbury Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
JACK M BERT MD (PRESIDENT)
(651) 491-9303
Entity
Organization
Contact information
Practice address
2025 WOODLANE DR, WOODBURY, MN 55125-2987
(651) 492-6762
Mailing address
2025 WOODLANE DR, WOODBURY, MN 55125-2987
(651) 492-6762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21554
MN
Other
Enumeration date
07/11/2011
Last updated
01/15/2019
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