Individual
DR. THOMAS M BERGREN
Active
Individual
DR. THOMAS M BERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023688
MI
207R00000X
Internal Medicine Physician
Primary
DO2846
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770094153
—
NV
01
—
DO2846
STATE LICENSE
NV
Enumeration date
10/12/2017
Last updated
08/17/2023
Update your record
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