Individual
JASON H BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP-BC
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4658-33
WI
363LF0000X
Family Nurse Practitioner
4658-33
WI
Other
Enumeration date
10/19/2011
Last updated
04/12/2021
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