Individual
MEGAN MARY BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5951001370
MI
213E00000X
Podiatrist
5951001370APP20
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2020
Last updated
03/22/2021
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