Individual
MICHAEL BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
10000 N LAKE SHORE DR, MEQUON, WI 53092-6108
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71861-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
09/11/2019
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