Gary R. Jernberg, D.D.S., M.S.D.
Periodontist in Mankato, MN(View on Map)
Legal Business Name
Gary R. Jernberg, D.D.S., M.S.D.
NPI Number
1851510952
NPI Type
Organization
Enumeration Date
04/25/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
99 NAVAHO AVE
99 NAVAHO AVE
City
Mankato
Mankato
State
MN
MN
Postal Code
56001-4876
56001-4876
Country
US
US
Telephone Number
(507) 345-7537
(507) 345-7537
Authorized Official
Name
Dr. Gary Jernberg
Title or Position
PERIODONTIST
Telephone Number
(507) 345-7537
Identifiers
Identifier
1B004JE
Identifier State
MN
Identifier Issuer
BCBS OF MN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020