Individual
LUKE WILLIAM BERGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 ASTER LN, WINNECONNE, WI 54986-9166
(262) 893-3035
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60232
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/14/2020
Last updated
02/12/2025
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