Individual
MRS. MELISSA DAWN BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8231
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2136
WI
Other
Enumeration date
07/11/2007
Last updated
01/24/2022
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