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Individual

DR. KELLY ROBERT BERGMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 334-5309
Mailing address
14 E 49TH ST, MINNEAPOLIS, MN 55419-5613
(952) 334-5309

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
54669
MN

Other

Enumeration date
04/25/2010
Last updated
02/15/2020
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