Individual
JOHN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NICOLLET MALL STE 1227, MINNEAPOLIS, MN 55402-2702
(612) 339-4843
(612) 339-9168
Mailing address
825 NICOLLET MALL STE 1227, MINNEAPOLIS, MN 55402-2702
(612) 339-4843
(612) 339-9168
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18723
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01282BE
BLUE CROSS, BLUE SHIELD
—
01
—
0327994
MEDICA
MN
01
—
070016473
RAILROAD MEDICARE
—
05
—
217763300
—
MN
01
—
3925
HEALTH PARTNERS
MN
Enumeration date
07/18/2006
Last updated
06/16/2008
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