Individual
HEATHER LINEE BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8100 NORTHLAND DRIVE, BLOOMINGTON, MN 55431
(952) 831-8742
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452489600
—
MN
Enumeration date
02/08/2006
Last updated
03/09/2016
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