Christopher Bergstrom in Appleton - Specialist
Christopher Bergstrom - NPI 1417905381
Christopher Bergstrom is a Specialist in Appleton, Wisconsin. Christopher Bergstrom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Christopher Bergstrom is 1417905381. The last update date is 2007-07-08.
Christopher Bergstrom's current location address is 5395 Michaels Dr, Appleton, Wisconsin. You can contact this provider via phone number 9207391214 and fax number 9207395855. The mailing address for Christopher Bergstrom is 5395 Michaels Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Bergstrom |
|---|---|
| Address | 5395 Michaels Dr, Appleton, Wisconsin |
| Phone Number | 9207391214 |
| Fax Number | 9207395855 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417905381 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5395 Michaels Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549138447 |
| Phone Number | 9207391214 |
| Fax Number | 9207395855 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5068015 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Christopher Bergstrom by the Centers for Medicare & Medicaid Services?
The Christopher Bergstrom has been issued the NPI (National Provider Identifier) 1417905381, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Christopher Bergstrom's facilities are geographically located?
The facilities of Christopher Bergstrom are physically situated at the following location: 5395 Michaels Dr, Appleton, WI, 549138447.
What is the Christopher Bergstrom's specialty and taxonomy code?
The Christopher Bergstrom's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Christopher Bergstrom receive the assignment of its 1417905381 from the Centers for Medicare & Medicaid Services?
The Christopher Bergstrom was issued its 1417905381 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date were the Christopher Bergstrom's details last updated?
The information pertaining to the Christopher Bergstrom, including its address, specialty, and other details, was most recently updated on 2007-07-08.