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1548973126
ALLEN PRAXIDIO BERGSTEDT
ANDOVER, MN
NPI
1548973126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MN 78163)
Enumeration Date
2022-12-28
Last Update Date
2024-11-06
Business Address
ALLEN PRAXIDIO BERGSTEDT MD
13819 HANSON BLVD NW
ANDOVER, MN 55304-7608
Phone number: 612-442-3996
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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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