Berg, Susan Marie

Berg, Susan Marie is an individual health care provider with primary practice located at 1411 Mn-79 , Elbow Lake MN 56531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berg, Susan Marie can be contacted via phone (218) 685-7300.

Contact Information

Primary practice address
1411 Mn-79 Elbow Lake MN 56531
Phone: (218) 685-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12716 Minnesota

Profile Details

NPI number 1548746308
LBN Legal business name Berg, Susan Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Sep 13th, 2018 - about 8 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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