| NPI | 1497828842 |
|---|---|
| Other Name | HEATHER M BERGERUD OD |
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE BERGERUD Chief Officer 952-403-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2621) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |