Individual
DR. GEORGE S BERGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 735-0501
(651) 251-8021
Mailing address
996 CAREN CT, MENDOTA HEIGHTS, MN 55118-3603
(651) 735-0501
(651) 251-8050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20665BE
BCBS
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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