Berestka, John S
Berestka, John S is an individual health care provider with primary practice located at 250 Central Ave N Ste 107 , Wayzata MN 55391-1207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berestka, John S can be contacted via phone (763) 416-7600.Contact Information
Primary practice address
250 Central Ave N Ste 107
Wayzata MN 55391-1207
Phone: (763) 416-7600
Fax: (763) 416-7634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 38104 | Minnesota |
Profile Details
| NPI number | 1114905072 |
|---|---|
| LBN Legal business name | Berestka, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Mar 17th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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