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Individual

AMY M BERGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3833 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433-2599
(763) 767-3350
(763) 767-0912
Mailing address
12000 ELM CREEK BLVD, SUITE 360, MAPLE GROVE, MN 55369-7076
(763) 420-1010
(763) 420-3710

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
9768
MN
363A00000X
Physician Assistant
Primary
9768
MN

Other

Enumeration date
03/20/2006
Last updated
11/30/2018
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