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1457310542
JACK M BERT
WOODBURY, MN
NPI
1457310542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MN 21554)
Enumeration Date
2006-03-20
Last Update Date
2018-12-05
Business Address
JACK M BERT MD
5829 WOODLANE BAY
WOODBURY, MN 55129
Phone number: 651-491-9303
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Mailing Address
JACK M BERT MD
2025 WOODLANE DR
WOODBURY, MN 55125-2987
Phone number: 651-491-9303
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