Individual
MS. JENNIFER T BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
3946 US HIGHWAY 93 N, STEVENSVILLE, MT 59870-6425
(406) 360-0584
(406) 777-0061
Mailing address
PO BOX 839, STEVENSVILLE, MT 59870-0839
(406) 360-0584
(406) 777-0061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
139
MT
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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