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1639146079
CHAD BERGMAN
INDIANAPOLIS, IN
NPI
1639146079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PS0010X Emergency Medicine Sports Medicine
(Licence: TX 123456)
Enumeration Date
2006-03-03
Last Update Date
2023-04-25
Business Address
MR. CHAD BERGMAN ATC
510 W 49TH ST
INDIANAPOLIS, IN 46208-3480
Phone number: 317-940-3647
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Mailing Address
MR. CHAD BERGMAN ATC
11550 HAGUE RD
FISHERS, IN 46038-1809
Phone number: 210-585-1057
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