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Contact Information

KELLY R BERGMANN, DO
2525 CHICAGO AVE
MINNEAPOLIS, MN55404-4518
 Phone: 952-334-5309
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KELLY R BERGMANN · (Male)

NPI Number 1790002129
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/25/2010
Last updated 02/15/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 54669
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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