RUSSELL ALAN BERGUM

ROCHESTER, MN
NPI1669400024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: MN  42602)
Enumeration Date2006-06-28
Last Update Date2023-08-16
Business Address
RUSSELL ALAN BERGUM D.O.
2560 2ND ST SW STE 120
ROCHESTER, MN 55902-4363
Phone number: 507-361-0400
Mailing Address
RUSSELL ALAN BERGUM D.O.
2560 2ND ST SW STE 120
ROCHESTER, MN 55902-4363
Phone number: 507-361-0400