Individual
MICHAEL K BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 5TH ST, MONTROSE, CO 81401-5711
(970) 497-8001
(970) 240-7793
Mailing address
600 S 5TH ST, MONTROSE, CO 81401-5711
(970) 497-8001
(970) 240-7793
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77178769
—
CO
Enumeration date
09/09/2005
Last updated
02/08/2023
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