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NPI Code Detail

MEDICARE: DANIEL BERNTSON MD

MEDICARE: DANIEL BERNTSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician26047MN

General Provider Information

NPI Number : 1558338947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL BERNTSON MD
Provider Business Mailing Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2104
Country : US
Telephone Number : 952-924-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 05/13/2008

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Directions to “ DANIEL BERNTSON MD” Practice Location

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