Individual
MR. LANCE JOSEPH BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
PO BOX 5046, SIOUX FALLS, SD 57117-5046
(605) 336-3230
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
326A
SD
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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