Individual
LINDA OLSON BERGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2657
AK
207Q00000X
Family Medicine Physician
Primary
30884
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122344
MEDICA
MN
01
—
HP10118
BCBS
MN
Enumeration date
03/24/2006
Last updated
06/13/2008
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