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Individual
DR. MICHAEL BERGEN
Active
Individual
DR. MICHAEL BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101267361
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101267361
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.146771
OH
208D00000X
General Practice Physician
2756654
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/21/2012
Last updated
01/17/2023
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