Individual
MICHAEL G BARGSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02846
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214924
—
IA
01
—
42147982000
TITLE 19
NE
01
—
5831823
TITLE 19
SD
Enumeration date
01/26/2006
Last updated
06/17/2008
Update your record
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