Individual
MR. ROSS ALEXANDER BERGFALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT, CDP
Contact information
Practice address
7237 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 420-8595
Mailing address
11710 97TH PL N, MAPLE GROVE, MN 55369-3622
(612) 518-9926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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