Individual
PATTY SUE OHRUM-BERGMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E CARROLL ST, INPATIENT SERVICES, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272
Mailing address
100 E CARROLL ST, ATTN: PRMG, SALISBURY, MD 21801-5422
(410) 543-7531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD423834
PA
207RC0000X
Cardiovascular Disease Physician
MD423834
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411372100
—
MD
01
—
P00418908
RAILROAD MEDICARE
—
Enumeration date
09/13/2005
Last updated
08/26/2022
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