Berger, Mark W
Berger, Mark W is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berger, Mark W can be contacted via phone (651) 292-2000.Contact Information
Primary practice address
2355 Highway 36 W Ste 100
Roseville MN 55113-3905
Phone: (651) 292-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35902 | Minnesota |
Profile Details
| NPI number | 1962481747 |
|---|---|
| LBN Legal business name | Berger, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 7th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962481747 | NPPES |
| Minnesota | MEDICAID | 790329400 |
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