Search › Minnesota › 124Q00000X
Bethany Bergstad, RDH
NPI 1487936480 · on the registry since 2011
Practice
- Address
- 1619 Mallard Rd
Brook Park, MN 55007 - Phone
- (218) 464-2962
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota