Individual
ALLEN PRAXIDIO BERGSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(612) 442-3996
Mailing address
15870 FARNHAM AVE N, HUGO, MN 55038-9002
(612) 442-3996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78163
MN
Other
Enumeration date
12/28/2022
Last updated
04/13/2025
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