Individual
DR. HOWARD THOMAS BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
37859
MN
207X00000X
Orthopaedic Surgery Physician
Primary
7019
ND
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
37859
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
7019
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18053
—
ND
Enumeration date
05/16/2006
Last updated
07/23/2021
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