Michael Bergquist
NPI #1104040658 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1104040658
- Entity Type
- Individual
- Name
- Michael Bergquist
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1321 E 4000 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-1446
- Phone
- (801) 560-0943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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