Individual
MRS. BARBARA JOY BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4505 W SUPERIOR ST, DULUTH, MN 55807-2728
(218) 624-4828
(218) 624-4479
Mailing address
4505 W SUPERIOR ST, DULUTH, MN 55807-2728
(218) 624-4828
(218) 624-4479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
104652
MN
174400000X
Specialist
211326
WI
Other
Enumeration date
12/11/2006
Last updated
04/10/2015
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