Individual
DR. RANDY J BERGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1223 PHOENIX ST, SOUTH HAVEN, MI 49090-7911
(269) 639-3510
(269) 639-3565
Mailing address
4495 WALLEYE DR SW, WALKER, MI 49534-6574
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302041961
MI
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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