Individual
DR. BRIAN R BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 EAST AVE, RED WING, MN 55066-2541
(651) 388-1147
(651) 388-1140
Mailing address
315 EAST AVE, RED WING, MN 55066-2541
(651) 388-1147
(651) 388-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11205
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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