Individual
KATELYN MARIE BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006363
MI
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/18/2012
Last updated
06/27/2019
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