Individual
BRENDA L BERGSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ND
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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