Organization
ADVANCED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROD BERGMAN D.C. (PRESIDENT)
(715) 362-2300
Entity
Organization
Contact information
Practice address
401 S PELHAM ST, RHINELANDER, WI 54501-3314
(715) 362-2300
Mailing address
401 S PELHAM ST, RHINELANDER, WI 54501-3314
(715) 362-2300
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
3888-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38942000
—
WI
05
—
38942100
—
WI
Enumeration date
07/03/2007
Last updated
01/21/2009
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