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Contact Information

SUSAN M BERG, PA-C
1411 MN-79
ELBOW LAKE, MN56531
 Phone: 218-685-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SUSAN M BERG · (Female)

NPI # 1548746308
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/16/2018
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12716
Hospital affiliation(s)
  • LAKE REGION HEALTHCARE CORPORATION - (Acute Care)
    712 SOUTH CASCADE
    FERGUS FALLS, MN 56537
  • PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES - (Critical Access)
    1411 STATE HIGHWAY 793
    ELBOW LAKE, MN 56531
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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