Individual
BRICE BERGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W2646 LINDQUIST RD, CECIL, WI 54111-9468
(715) 851-5045
Mailing address
W2646 LINDQUIST RD, CECIL, WI 54111-9468
(715) 851-5045
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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