Brice Bergner

NPI #1538623749 in Cecil, Wisconsin

Provider Information

NPI Number: 1538623749
Entity Type: Individual
Name: Brice Bergner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: W2646 LINDQUIST RD
City: Cecil
State: Wisconsin
ZIP Code: 54111-9468
Phone: (715) 851-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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