Organization
BERGREN FAMILY CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRAD JAMES BERGREN D.C. (OWNER)
(218) 245-2176
Entity
Organization
Contact information
Practice address
41025 SCENIC HWY, BOVEY, MN 55709-7062
(218) 245-2176
(218) 245-2676
Mailing address
41025 SCENIC HWY, BOVEY, MN 55709-7062
(218) 245-2176
(218) 245-2676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5131
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185417000
—
MN
Enumeration date
10/17/2008
Last updated
02/15/2023
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