Organization
CARL T BERGREN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL T BERGREN MD (PRESIDENT / OWNER)
(313) 593-8620
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, CANCER CENTER, DEARBORN, MI 48124-4089
(313) 593-8620
Mailing address
22550 LAW ST, DEARBORN, MI 48124-1087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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