Individual
DR. TIMOTHY BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
67044
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068473
—
WI
Enumeration date
06/27/2007
Last updated
10/24/2023
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