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Individual
MS. SHERRY A. BERGLUND
Active
Individual
MS. SHERRY A. BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C0001948
MD
207RA0401X
Addiction Medicine (Internal Medicine) Physician
C0001948
MD
363A00000X
Physician Assistant
Primary
C0001948
MD
Other
Enumeration date
06/19/2006
Last updated
01/03/2014
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