Bergeron, Wendy M
Bergeron, Wendy M is an individual health care provider with primary practice located at 1415 Saint Francis Ave , Shakopee MN 55379-3374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bergeron, Wendy M can be contacted via phone (952) 993-7750.Contact Information
Primary practice address
1415 Saint Francis Ave
Shakopee MN 55379-3374
Phone: (952) 993-7750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36231 | Minnesota |
Profile Details
| NPI number | 1912984311 |
|---|---|
| LBN Legal business name | Bergeron, Wendy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Oct 17th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912984311 | NPPES |
| Minnesota | MEDICAID | 347723100 |
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