Individual
DR. JERRY MICHAEL BERGSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8905 SOURWOOD CT, INDIANAPOLIS, IN 46260-1544
(317) 872-4459
(317) 872-4459
Mailing address
8905 SOURWOOD CT, INDIANAPOLIS, IN 46260-1544
(317) 872-4459
(317) 872-4459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01027479A
IN
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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