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1396004842
LISA BERGSMA
ROCHESTER, NY
NPI
1396004842
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Former Name
LISA CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101023718)
Enumeration Date
2012-05-03
Last Update Date
2018-08-28
Business Address
LISA BERGSMA D.O.
601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642
Phone number: 585-463-2940
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Mailing Address
LISA BERGSMA D.O.
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number:
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