LANCE K BERGSTROM

FARGO, ND
NPI1578509733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ND  7230)
Additional Taxonomies174400000X Specialist
(Licence: MN  38105)
Enumeration Date2006-06-22
Last Update Date2010-08-09
Business Address
-- LANCE K BERGSTROM M.D.
2601 UNIVERSITY DR S
FARGO, ND 58103-6025
Phone number: 701-235-5200
Mailing Address
-- LANCE K BERGSTROM M.D.
2601 UNIVERSITY DR S
FARGO, ND 58103-6025
Phone number: 701-235-5200
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