Individual
BETH L BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1604 5TH ST S, FARGO, ND 58103
(218) 256-0412
(800) 678-8401
Mailing address
1604 5TH ST S, FARGO, ND 58103-4243
(218) 256-0412
(800) 678-8401
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1020
MN
Other
Enumeration date
10/09/2007
Last updated
03/17/2019
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