Dr. Joseph Edward Bergstrom Sr., DO
Family Medicine in Davenport, IA. Individual provider (NPI-1).
NPI number1831154822
StatusActive
Last updated in NPPESOct 3, 2021
Details
- NPI
- 1831154822
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Edward Bergstrom Sr.
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Certification date
- Aug 15, 2021
- Last updated
- Oct 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 03192 | IA | Yes |
Practice location
3200 W Kimberly RdDavenport, IA 52806-3059
Phone 563-421-1000
Mailing address
3200 W Kimberly RdDavenport, IA 52806-3059
Phone 563-421-1000
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