Berman, Gary D.

Berman, Gary D. is an individual health care provider with primary practice located at 825 Nicollet Mall Suite 1149, Minneapolis MN 55402-2606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as his primary health care specialty. Berman, Gary D. can be contacted via phone (612) 338-3333.

Contact Information

Primary practice address
825 Nicollet Mall Suite 1149 Minneapolis MN 55402-2606
Phone: (612) 338-3333
Fax: (612) 349-3838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 37947 Minnesota

Profile Details

NPI number 1609836121
LBN Legal business name Berman, Gary D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 2nd, 2010 - about 14 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 1609836121 NPPES
Minnesota MEDICAID 587225100

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