Individual
CASSIDY ELLEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, RD
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
04/17/2024
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