Individual
JAY D BERGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25
MN
367500000X
Certified Registered Nurse Anesthetist
R 143708-3
MN
Other
Enumeration date
07/27/2006
Last updated
10/01/2020
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