TRAE JORDAN BERGH

DAKOTA DUNES, SD
NPI1992286223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SD  1156)
Enumeration Date2018-08-24
Last Update Date2020-02-25
Business Address
TRAE JORDAN BERGH PA-C
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049-5312
Phone number: 605-217-2667
Mailing Address
TRAE JORDAN BERGH PA-C
3016 S KEYRELL DR
SIOUX FALLS, SD 57106-7304
Phone number: 605-553-6458
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