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Individual

DR. PAUL MICHAEL BERGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
711 6TH AVE NE, SUITE #1, ISANTI, MN 55040
(763) 444-5567
(763) 444-4991
Mailing address
711 6TH AVE NE, SUITE #1, ISANTI, MN 55040
(763) 444-5567
(763) 444-4991

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2421
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
990528600
MN
Enumeration date
05/25/2007
Last updated
11/08/2013
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