Individual
DR. HENRY SCOTT BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01051130A
IN
208600000X
Surgery Physician
4301115212
MI
2086S0102X
Surgical Critical Care Physician
01051130A
IN
2086S0127X
Trauma Surgery Physician
01051130A
IN
2086S0127X
Trauma Surgery Physician
Primary
18055
NH
2086S0127X
Trauma Surgery Physician
2009018572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992798482
—
MO
05
—
200246310B
—
IN
05
—
200627450 A
—
KS
Enumeration date
08/30/2005
Last updated
05/25/2018
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