Anthony D Bergmann, PAC
Physician Assistant in Rice Lake, WI. Individual provider (NPI-1).
NPI number1184723504
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1184723504
- Entity type
- Individual (NPI-1)
- Name
- Anthony D Bergmann
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Sep 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1053023 | WI | Yes |
Practice location
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-236-8100
Mailing address
1000 N Oak AveMarshfield, WI 54449-5777
Phone 715-387-5511
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