| Doctor Name: | DR. JOHN HOWARD BERG |
| NPI Number: | 1518958214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 18675 |
| Business Practice Address: | 1400 1st St Ne New Prague, MN - 560712215 |
| Business Phone Number: | 9527582535 |
| Business Fax Number: | 9525486160 |
| Mailing Address: | 307 9th St Se, NEW PRAGUE |
| State: | MN |
| Postal Code: | 560711641 |
| Phone Number: | 9527582535 |
| Fax Number: | 9525486160 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 18675 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |