Dr. Phillip William Berg, D.C.
Chiropractor in Champlin, MN. Individual provider (NPI-1).
NPI number1831374446
StatusActive
Last updated in NPPESDec 15, 2016
Details
- NPI
- 1831374446
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phillip William Berg
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2008
- Last updated
- Dec 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5047 | MN | Yes |
| 111N00000X | Chiropractor | 815 | ND |
Practice location
11468 Marketplace Dr NSuite 500
Champlin, MN 55316-3872
Phone 763-421-2710
Mailing address
2625 24th Ave S# B
Grand Forks, ND 58201-6180
Phone 763-421-2710
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All 26 Chiropractor providers in Champlin · All 341 providers in Champlin
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