Individual
PAUL E BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S MAIN ST, SUITE 400, VIROQUA, WI 54665-2057
(608) 637-4230
(608) 637-4214
Mailing address
407 S MAIN ST, SUITE 400, VIROQUA, WI 54665-2057
(608) 637-4230
(608) 637-4214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30274
WI
Other
Enumeration date
06/13/2006
Last updated
10/26/2011
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