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Individual

CURTIS STANLEY BERGQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(734) 936-4973
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD208491
OR
390200000X
Student in an Organized Health Care Education/Training Program
4301110001
MI

Other

Enumeration date
09/10/2013
Last updated
09/06/2022
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