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Individual

ERIC J BERSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2432 CLIFTY DR, MADISON, IN 47250-1636
(812) 265-1000
(812) 265-6994
Mailing address
2432 CLIFTY DR, MADISON, IN 47250-1636
(812) 265-1000
(812) 265-6994

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
08001646
IN
111NR0400X
Rehabilitation Chiropractor
Primary
08001646
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200095140
IN
Enumeration date
10/11/2006
Last updated
03/25/2010
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