Individual
MICHAEL M BERGSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3433
(316) 267-5444
Mailing address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3433
(316) 267-5444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2788
KS
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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