Individual provider · NPI-1

Anthony Berger

Specialist/Technologist, Athletic Trainer · Minneapolis, MN

NPI number1083013916
StatusActive
Last updated in NPPESAug 15, 2014

Details

NPI
1083013916
Entity type
Individual (NPI-1)
Name
Anthony Berger
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2014
Last updated
Aug 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–MNYes

Practice location

516 15th Ave Se
Minneapolis, MN 55455-0130

Phone 612-624-4527

Mailing address

1354 Coach Rd Apt 318
Saint Paul, MN 55108-5317

Phone 402-540-8669

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