Individual
DR. MARK JOSEPH BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MMC 39 420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA DIVISION OF NEONATOLOGY, MINNEAPOLIS, MN 55455
(612) 626-2958
Mailing address
1469 ELEANOR AVE, SAINT PAUL, MN 55116-2234
(651) 698-4506
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
47620
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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