LISA Y BERGMARK

BREWER, ME
NPI1740439611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1434)
Enumeration Date2008-09-15
Last Update Date2021-05-04
Business Address
LISA Y BERGMARK PAC
735 WILSON ST
BREWER, ME 04412-1000
Phone number: 207-989-1567
Mailing Address
LISA Y BERGMARK PAC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8200