Individual
DR. LISA MARIE BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, ROOM 2501.12 DIVISION OF ORTHOPAEDIC SURGERY, KANSAS CITY, MO 64108-4619
(816) 234-3693
(816) 855-1993
Mailing address
2401 GILLHAM RD, ROOM 2501.12 DIVISION OF ORTHOPAEDIC SURGERY, KANSAS CITY, MO 64108-4619
(816) 234-3693
(816) 855-1993
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2010004019
MO
Other
Enumeration date
05/01/2007
Last updated
09/15/2011
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