Steven C Bergeson, MD
Family Medicine in Shoreview, MN. Individual provider (NPI-1).
NPI number1497711949
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1497711949
- Entity type
- Individual (NPI-1)
- Name
- Steven C Bergeson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2006
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 26195 | MN | Yes |
Practice location
4194 Lexington Ave NShoreview, MN 55126-6106
Phone 651-483-5461
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-5000
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