Lance K Bergstrom is a Specialist in Fargo, North Dakota. Lance K Bergstrom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lance K Bergstrom is 1578509733. The last update date is 2010-08-09.
Lance K Bergstrom's current location address is 2601 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012355200 and fax number 7012370927. The mailing address for Lance K Bergstrom is 2601 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance K Bergstrom |
|---|---|
| Address | 2601 University Dr S, Fargo, North Dakota |
| Phone Number | 7012355200 |
| Fax Number | 7012370927 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578509733 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2010-08-09 |
Provider Mailing Address Detail
| Address | 2601 University Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036025 |
| Phone Number | 7012355200 |
| Fax Number | 7012370927 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7230 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18672 | ND | -- | |
| 33A71BE | MN | MN BCBS | |
| 80024400 | MN | -- | |
| 1068001 | ND | BCBS OF ND | |
| 12698 | ND | -- | |
| 33A70BE | MN | MN BCBS | |
| 236454 | ND | ND BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Lance K Bergstrom by the Centers for Medicare & Medicaid Services?
The Lance K Bergstrom has been assigned the NPI (National Provider Identifier) 1578509733. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lance K Bergstrom's facilities are geographically located?
The facilities of Lance K Bergstrom are physically situated at the following location: 2601 University Dr S, Fargo, ND, 581036025.
What is Lance K Bergstrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lance K Bergstrom is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did the Lance K Bergstrom receive its 1578509733?
The Lance K Bergstrom was issued its 1578509733 on 2006-06-22, which is the date when the organization was assigned this unique identifier.
When was the Lance K Bergstrom's information last updated?
The Lance K Bergstrom's information was last updated on 2010-08-09.