Individual
ERIC J BERSAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
4165 VAN FOSSEN RD, JOHNSTOWN, OH 43031-9421
(740) 967-9160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35054084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685683
—
OH
Enumeration date
05/25/2006
Last updated
11/23/2007
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