Tabetha Emily Bergeron, PA-C
NPI #1003228925 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003228925
- Entity Type
- Individual
- Name
- Tabetha Emily Bergeron, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 27, 2014
- Last Updated
- Jun 12, 2024
Practice Location
- Address
- 4069 LAKE DR SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8816
- Phone
- (616) 267-7469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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