# INTERVENTIONAL ORTHOPEDIC SOLUTIONS-ROCHESTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interventional Orthopedic Solutions - Rochester, PLLC, IOS-Rochester
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457005084
- **Authorized official:** RUSSELL A BERGUM DO (OWNER)
- **Authorized official phone:** (507) 251-5870

## Contact information

- **Practice address:** 2560 2ND ST SW, SUITE 120, ROCHESTER, MN 55902-4432
- **Practice address phone:** (507) 361-0400
- **Practice address fax:** (866) 371-6710
- **Mailing address:** 5287 SCENIC VIEW DR SW, ROCHESTER, MN 55902
- **Mailing address phone:** (507) 721-9758
- **Mailing address fax:** (866) 371-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 05/17/2022