Individual
SHERI B BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-4491
(715) 817-7000
Mailing address
400 E 3RD ST, DULUTH CLINIC, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39302
MN
208M00000X
Hospitalist Physician
Primary
64745-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763578800
—
MN
01
—
K400263394
MEDICARE
WI
Enumeration date
05/11/2006
Last updated
03/26/2024
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