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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN MARIE BERG, PA-C

Active

SUSAN MARIE BERG, PA-C is a Physician Assistant healthcare provider located in ELBOW LAKE, Minnesota. NPI 1548746308 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ELBOW LAKE, MN

Registration Details

NPI Number
1548746308
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2018 (8.0716373495247 yrs)
Last Updated
Sep 13, 2018
License
12716 (MN)

Practice Information

Address
1411 MN-79
ELBOW LAKE, MN, 56531
Browse MN providers · Browse ZIP 56531
Phone
2186857300
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.