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Contact Information

MARK J BERGERON, MD
MMC 39 420 DELAWARE STREET SE
UNIVERSITY OF MINNESOTA DIVISION OF NEONATOLOGY
MINNEAPOLIS, MN55455
 Phone: 612-626-2958
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK J BERGERON · (Male)

NPI Number 1699838300
Status Active
Credentials MD
Entity Individual
Enumeration date 12/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 47620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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