Individual
MS. MARGUERITE ANN BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 479-9460
Mailing address
N55W34621 ROAD E, OCONOMOWOC, WI 53066-2543
(262) 567-3897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2338024
WI
2251P0200X
Pediatric Physical Therapist
2338-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40043900
—
WI
Enumeration date
05/10/2007
Last updated
03/04/2019
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