Individual
DR. ROBERT WILLIAM BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2101 HENNEPIN AVE SOUTH, SUITE #210, MINNEAPOLIS, MN 55405
(612) 871-0700
(612) 874-9827
Mailing address
2101 HENNEPIN AVE SOUTH, SUITE #210, MINNEAPOLIS, MN 55405
(612) 871-0700
(612) 874-9827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1232
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01250BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/05/2007
Last updated
07/08/2007
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