Individual
MAXWELL BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212-3154
(614) 293-9215
(614) 293-1923
Mailing address
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212-3154
(614) 293-9215
(614) 293-1923
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
57.247690
OH
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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