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Contact Information

SUSAN A BERRY, MD
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN55455
 Phone: 612-626-6777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN A BERRY · (Female)

NPI # 1982640264
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 04/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26368
  • IA Medicaid 1990358
  • MN Medicaid 666773200
  • MT Medicaid 0052275
  • NE Medicaid 41184394337
  • WI Medicaid 30580800
  • MN Other 24479 ARAZ
  • MN Other 2T262BE BCBS
  • MN Other HP12898 HEALTHPARTNERS
  • MN Other 12-24753 MEDICA CHOICE
  • MN Other 1270280 MEDICA PRIMARY
  • MN Other 1010201 PREFERRED ONE
  • MN Other 100978 UCARE
Hospital affiliation(s)
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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