Individual
ELIZABETH BERGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
785 HIGH AVE, OSHKOSH, WI 54901-4103
(920) 424-7142
Mailing address
4438 CHEROKEE TRL, HUBERTUS, WI 53033-9798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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