Individual
MR. JOSEPH PAUL BERGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
(248) 350-8070
(248) 350-8078
Mailing address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
(248) 350-8070
(248) 350-8078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003453
MI
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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