Ida Carrie Bergman D.C.

NPI 1144307208 - Chiropractor - 111NN0400X

NPI Details
NPI 1144307208
Gender Female
Enumeration Date 11/01/2006
Last Updated 06/27/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
401 S PELHAM ST
RHINELANDER WI, 54501-3314, US
Phone (715) 362-2300
Fax (715) 362-2305
Business Location
401 S PELHAM ST
RHINELANDER WI, 54501-3314, US
Phone (715) 362-2300
Fax
Toxanomy
Taxonomy Code 111NN0400X
License State Wisconsin
License Number 3901-012
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According to our database, Ida Carrie Bergman D.C. NPI is 1144307208, taxonomy code is 111NN0400X and license number is 3901-012, license state is located at Wisconsin. Ida Carrie Bergman D.C. physically located at 401 S Pelham St, Rhinelander WI, 54501-3314. NPI Number Ida Carrie Bergman D.C. has the Individual type.

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1144307208 NPI number is provided on an as is basis without warranty of any kind. 1144307208 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Carrie Bergman D.C. are for informational purposes only.