Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATHER MARIE BERGERUD, OD
ActiveDR. HEATHER MARIE BERGERUD, OD is a Optometrist healthcare provider located in ST. LOUIS PARK, Minnesota. NPI 1669545018 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ST. LOUIS PARK, MN
Registration Details
- NPI Number
- 1669545018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2006 (19.717112068487 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2621 (MN)
Practice Information
- Address
-
3745 LOUISIANA AVE SST. LOUIS PARK, MN, 55426Browse MN providers · Browse ZIP 55426
- Phone
- 9529224427
- Fax
- 9529224761
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.