Berg, Mark A

Berg, Mark A is an individual health care provider with primary practice located at 1400 1St St Ne , New Prague MN 56071-2215. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berg, Mark A can be contacted via phone (952) 758-2535.

Contact Information

Primary practice address
1400 1St St Ne New Prague MN 56071-2215
Phone: (952) 758-2535
Fax: (952) 548-6160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38780 Minnesota
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 38780 Minnesota
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 38780 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 38780 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 38780 Minnesota

Profile Details

NPI number 1245221647
LBN Legal business name Berg, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Aug 30th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245221647 NPPES
Minnesota MEDICAID 979826900

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