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Individual

ANDREA BERGSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
178 9TH ST E STE 300, SAINT PAUL, MN 55101-2577
(612) 275-2398
Mailing address
9046 OGDEN AVE NE, OTSEGO, MN 55330-7273
(612) 275-2398

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP2295
MN

Other

Enumeration date
06/28/2008
Last updated
08/29/2022
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