Individual
DR. MICHAEL BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1838
(216) 444-0617
(216) 445-1492
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-6640
(216) 445-1492
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101267361
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101267361
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.146771
OH
208D00000X
General Practice Physician
2756654
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/21/2012
Last updated
01/17/2023
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