Individual
LOUIS WILLIAM BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3763 75 BUSINESS SPUR, SAULT STE MARIE, MI 49783
(906) 632-0582
(906) 632-0584
Mailing address
2623 W 20TH ST, SAULT SAINTE MARIE, MI 49783-9478
(906) 203-4589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302121230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302121230
OTHER
MI
Enumeration date
08/28/2019
Last updated
08/28/2019
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