Michelle Louise Bergsrud DDS

NPI 1073635926 - Dentist - 1223X0400X

NPI Details
NPI 1073635926
Gender Female
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6060 CLEARWATER DR
SUITE 230
MINNETONKA MN, 55343-9442, US
Phone (952) 938-8882
Fax
Business Location
6060 CLEARWATER DR
SUITE 230
MINNETONKA MN, 55343-9442, US
Phone (952) 938-8882
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number 9066
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According to our database, Dr. Michelle Louise Bergsrud DDS NPI is 1073635926, taxonomy code is 1223X0400X and license number is 9066, license state is located at Minnesota. Michelle Louise Bergsrud DDS physically located at 6060 Clearwater Dr, Minnetonka MN, 55343-9442. NPI Number Michelle Louise Bergsrud DDS has the Individual type.

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1073635926 NPI number is provided on an as is basis without warranty of any kind. 1073635926 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Louise Bergsrud DDS are for informational purposes only.