Andrea Lynn Bershow
Dermatologist
516 Delaware St Se 4-240, Phillips-Wangensteen Bldg.
Minneapolis
, Minnesota 55455-0356
Andrea Lynn Bershow
Dermatologist
516 Delaware St Se 4-240, Phillips-Wangensteen Bldg.
Minneapolis
, Minnesota 55455-0356
(612) 625-8625
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Andrea Lynn Bershow
- 420 Delaware St Se Department Of Dermatology- Mmc 98
- Minneapolis, MN
- Zip : 55455-0392
- Phone : (612) 625-8625
Second Address
- Andrea Lynn Bershow
- 516 Delaware St Se 4-240, Phillips-Wangensteen Bldg.
- Minneapolis, MN
- Zip : 55455-0356
- Fax : (612) 624-6678
- Phone : (612) 625-8625
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 25727 | OK |
| Y | 207N00000X | Dermatologist | 53277 | MN |
National Provider Identifier
| NPI | 1013112036 |
|---|---|
| Provider Name | Andrea Lynn Bershow |
| First Address | Minneapolis, MN 55455-0392 |
| Second Address | Minneapolis, MN 55455-0356 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2007 |
| Last Update Date | 29/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.