License holder summary

Wendy Marie Fanum Bergeron is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Wendy Marie Fanum Bergeron is 4670 Park Nicollet Ave SE, Prior Lake, MN 55372. This doctor license is current. The license was granted 07/10/1993 and expired on 01/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Wendy Marie Fanum Bergeron
Medical - Physician And Surgeon
License number
36231
Date granted
07/10/1993
Date expires
01/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
4670 Park Nicollet Ave SE, Prior Lake, MN 55372
doctorsminnesota.org
ID 22160187
LAST UPDATED 2024-02-15 21:47:37 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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