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Contact Information

KATELYN M BERGERON, PA-C
8001 CHALLIS RD
BRIGHTON, MI48116-7446
 Phone: 810-227-9510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATELYN M BERGERON · (Female)

NPI # 1710244405
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/18/2012
Last updated 06/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601006363
Hospital affiliation(s)
  • UNIVERSITY OF MICHIGAN HEALTH SYSTEM - (Acute Care)
    1500 E MEDICAL CENTER DRIVE, SPC 5474
    ANN ARBOR, MI 48109
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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