Heather M Bergerud Od Inc

NPI 1497828842 - Optometrist - 152W00000X

NPI Details
NPI 1497828842
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HEATHER MARIE HEATHER
Position CHIEF OFFICER
Phone (952) 922-4427
Fax (952) 922-4761
Practice Location
3745 LOUISIANA AVE S
ST. LOUIS PARK MN, 55426, US
Phone (952) 922-4427
Fax (952) 922-4761
Business Location
290 GREENLEAF CT.
CHANHASSEN MN, 55317, US
Phone (952) 403-1694
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2621
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According to our database, Heather M Bergerud Od Inc NPI is 1497828842, taxonomy code is 152W00000X and license number is 2621, license state is located at Minnesota. Heather M Bergerud Od Inc physically located at 3745 Louisiana Ave S, St. Louis Park MN, 55426. NPI Number 1033115704 has the healthcare provider type.

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1497828842 NPI number is provided on an as is basis without warranty of any kind. 1497828842 is maintained by the National Plan & Provider Enumeration System. The contents of Heather M Bergerud Od Inc are for informational purposes only.