MALLORIE A BERGSTROM

WAUWATOSA, WI
NPI1730490012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2591-23)
Enumeration Date2010-07-01
Last Update Date2022-05-02
Business Address
Ms. MALLORIE A BERGSTROM PA-C
2727 N MAYFAIR RD STE I
WAUWATOSA, WI 53222-4400
Phone number: 414-727-0910
Mailing Address
Ms. MALLORIE A BERGSTROM PA-C
PO BOX 26071
WAUWATOSA, WI 53226-0071
Phone number: 414-727-0910
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