Individual
NOAH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4200 PIONEER DR, WOODBURY, MN 55129-9534
(763) 221-3983
Mailing address
67 MAYWOOD PL, SAINT PAUL, MN 55117-5621
(763) 221-3983
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3613
MN
Other
Enumeration date
01/16/2019
Last updated
02/08/2023
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