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Contact Information

MEGAN M BERGERON
15855 19 MILE RD
CILNTON TOWNSHIP, MI48038-3504
 Phone: 586-263-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

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

NPI Number 1639706195
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2020
Last updated 03/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5951001370
  • MI License # 5951001370APP20
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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