Individual
DR. TODD ALAN BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2726 GRIFFIN AVE, ENUMCLAW, WA 98022-2362
(360) 825-5459
Mailing address
2726 GRIFFIN AVE, ENUMCLAW, WA 98022-2362
(360) 825-5459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 60327183
WA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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