Individual
JONAH BERGSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 205-7435
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14662
MN
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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