Individual
KATHLEEN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SWEDE AVE, TURTLE LAKE, WI 54889
(715) 986-2599
Mailing address
8540 215TH ST N, FOREST LAKE, MN 55025-9114
(651) 341-1521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001246-15
WI
122300000X
Dentist
Primary
D13519
MN
Other
Enumeration date
07/02/2015
Last updated
08/14/2026
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