Individual
ZACHARY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6600
(952) 883-9677
Mailing address
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455-0341
(612) 625-6483
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67119
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
04/13/2020
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