Individual
DR. MARK ANDREW BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23829 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
(586) 773-1600
Mailing address
23829 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
(586) 773-1600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301102548
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2706069
—
MI
Enumeration date
05/04/2008
Last updated
07/16/2013
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