Individual
DR. LYNN MARIE BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 VINE STREET, DEPT OF VETERANS AFFAIRS MEDICAL CENTER, CINCINNATI, OH 45220-2447
(513) 861-3100
(513) 475-6528
Mailing address
2980 ERIE AVE, CINCINNATI, OH 45208-2447
(513) 861-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35078777
OH
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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