Individual
WILMA F BERGFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35029575B
OH
207ND0900X
Dermatopathology Physician
35029575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444737
—
OH
Enumeration date
04/19/2006
Last updated
12/13/2011
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