Individual
THOMAS A BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, P5, MINNEAPOLIS, MN 55415-1623
(612) 873-2810
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
28388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356788500
—
MN
Enumeration date
06/27/2006
Last updated
08/20/2007
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