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1548973126
ALLEN PRAXIDIO BERGSTEDT
MINNEAPOLIS, MN
NPI
1548973126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-28
Last Update Date
2023-04-26
Business Address
ALLEN PRAXIDIO BERGSTEDT MD
420 DELAWARE STREET SE MMC 913
MINNEAPOLIS, MN 55455-0341
Phone number: 612-624-0990
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Mailing Address
ALLEN PRAXIDIO BERGSTEDT MD
2495 121ST CIR NE UNIT A
BLAINE, MN 55449-5572
Phone number: 612-442-3996
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