Individual
PAUL ANTHONY BERGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.057748
IL
207R00000X
Internal Medicine Physician
62261
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
62261
WI
207RP1001X
Pulmonary Disease Physician
62261
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306152129
—
WI
Enumeration date
08/31/2010
Last updated
03/31/2021
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