Individual
MR. JOSEPH JOHN BERGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
7560 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 891-1167
(952) 891-3337
Mailing address
7560 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 891-1167
(952) 891-3337
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
716705
MN
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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