Individual
SARAH BERGSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(615) 872-0495
Mailing address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(615) 872-0495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
820854
MN
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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