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Contact Information

HEATHER L BERGESON, MD
8100 NORTHLAND DRIVE
BLOOMINGTON, MN55431
 Phone: 952-831-8742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HEATHER L BERGESON · (Female)

NPI # 1932172277
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 03/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 44300
  • MN Medicaid 452489600
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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