Male or Other

Jonah Bergstrand PA-C

Family Medicine Physician in Fergus Falls, MN(View on Map)

Full Name

Jonah Bergstrand PA-C

NPI Number

1952181307

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/03/2023

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

14662

Contact
Information

Purpose

Mailing
Location

Address

712 S CASCADE ST
712 S CASCADE ST

City

Fergus Falls
Fergus Falls

State

MN
MN

Postal Code

56537-2913
56537-2913

Country

US
US

Telephone Number

N/A
(218) 205-7435

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/03/2023

Provider Address

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