Organization
BERGMANN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THOMAS BERGMANN D.C. (DOCTOR OF CHIROPRACTIC)
(262) 560-4977
Entity
Organization
Contact information
Practice address
W359N5920 BROWN ST, OCONOMOWOC, WI 53066-2488
(262) 560-4977
Mailing address
W359N5920 BROWN ST, OCONOMOWOC, WI 53066-2488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4845-12
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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