Individual provider · Type 1 NPI

Michael Bergman

Specialist · St. Louis, MO

NPI number 1790225084 Active

Practice location

6327 S Grand Blvd, Apt 1G
St. Louis, MO 63111-2653

Call (314) 333-2103 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790225084

Michael Bergman's National Provider Identifier is 1790225084, issued on Mar 6, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 6, 2017.