NPI 1073513982

Jonathon H Berg, MD

Practitioner Family Medicine Physician Grand Forks, ND

Practice location

Address: 1300 South Columbia Road, Grand Forks, ND 58201-4032
Phone: (701) 780-5000
Fax: (701) 587-6009
Mailing address: PO Box 6002, Grand Forks, ND 58201

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5113 (ND)

Other Family Medicine providers in North Dakota →

Registry record

NPI: 1073513982
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.