Individual
ALAN DAVID BERGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1203 E. 4TH AVE. SUITE 101, MILBANK, SD 57252-0230
(605) 432-9561
(605) 432-9562
Mailing address
PO BOX 230, 1203 E. 4TH AVE. SUITE 101, MILBANK, SD 57252-0230
(605) 432-9561
(605) 432-9562
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
767
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76039303
—
SD
Enumeration date
07/24/2006
Last updated
07/08/2007
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