Mark A Berg is a Adolescent Medicine in New Prague, Minnesota. Mark A Berg practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mark A Berg is 1245221647. The last update date is 2016-08-30.
Mark A Berg's current location address is 1400 1st St Ne, New Prague, Minnesota. You can contact this provider via phone number 9527582535 and fax number 9525486160. The mailing address for Mark A Berg is 1400 1st St Ne, New Prague, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark A Berg |
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Address | 1400 1st St Ne, New Prague, Minnesota |
Phone Number | 9527582535 |
Fax Number | 9525486160 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1245221647 |
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Provider Enumeration Date | 2005-11-03 |
Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
Address | 1400 1st St Ne |
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City | New Prague |
State | Minnesota (MN) |
Post Code | 560712215 |
Phone Number | 9527582535 |
Fax Number | 9525486160 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | 38780 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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979826900 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark A Berg by the Centers for Medicare & Medicaid Services?
The Mark A Berg has been assigned the NPI (National Provider Identifier) 1245221647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mark A Berg is located?
The Mark A Berg is situated at the following address: 1400 1St St Ne, New Prague, MN, 560712215.
What is Mark A Berg's area of expertise and its corresponding taxonomy classification?
The Mark A Berg's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1245221647 to Mark A Berg?
The Centers for Medicare & Medicaid Services assigned the 1245221647 to Mark A Berg on 2005-11-03.
As of what date were the details related to Mark A Berg most recently updated or revised?
The information pertaining to Mark A Berg, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-30.