Individual
SHAWN J BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8620 E 32ND CT N, WICHITA, KS 67226-4007
(316) 612-0600
(316) 612-1140
Mailing address
7610 E 32ND ST N, #108, WICHITA, KS 67226-1279
(913) 340-0814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105016
KS
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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