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Contact Information

PETER BERG, MD
762 WEST 4TH STREET
RUSH CITY, MN55069
 Phone: 320-358-4784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PETER BERG · (Male)

NPI # 1285737106
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 45666
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
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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