Individual
ANNIE MICHELLE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
Mailing address
10559 CONOVER RD, VERSAILLES, OH 45380-8493
(937) 307-6180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
02/07/2025
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