Individual
ANGELA BERGMANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
1311 KENILWORTH DR, WOODBURY, MN 55125-2354
(651) 493-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-03451
MEDICA
MN
01
—
182090
UCARE
MN
01
—
HP57679
HEALTH PARTNERS
MN
01
—
NA9021045918
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
07/08/2007
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