Individual
NICOLE MARIE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 567-6125
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3789
MN
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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