Susan Marie Berg, PA-C

NPI #1548746308 in Elbow Lake, Minnesota

Provider Information

NPI Number: 1548746308
Entity Type: Individual
Name: Susan Marie Berg, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 16, 2018
Last Updated: Sep 13, 2018

Practice Location

Address: 1411 MN-79
City: Elbow Lake
State: Minnesota
ZIP Code: 56531
Phone: (218) 685-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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