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Corwyn B Bergsma, DPM
Foot & Ankle Surgery Podiatrist in Grand Rapids, Michigan
NPI 1447281662

Corwyn B Bergsma is a Foot & Ankle Surgery Podiatrist based in Kentwood, MI and is specialized in Foot & Ankle Surgery. Corwyn B Bergsma practices in Grand Rapids, MI and has the professional credentials of DPM. The NPI Number for Corwyn B Bergsma is 1447281662 and holds a License No. 5901002157 (Michigan).

The current practice location address for Corwyn B Bergsma is 1195 Wilson Ave Nw, Grand Rapids, MI and can be reached out via phone at 616-453-8277 and via fax at 616-453-2002.

Location: 1195 Wilson Ave Nw, Grand Rapids, MI, 49508-4625
person
Provider Profile Details
NPI Number
1447281662
Provider Name
Corwyn B Bergsma
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1195 Wilson Ave Nw, Grand Rapids, MI, 49508-4625
Phone Number
616-453-8277
Fax Number
616-453-2002
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1266510001 01 MI ADMINISTAR
4584211 05 MI
480026386 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1195 Wilson Ave Nw
City
State
Zip
49534-6405
Phone Number
616-453-8277
Fax Number
616-453-2002
person
Provider Business Mailing Address Details
Address
1195 Wilson Ave Nw
City
State
Zip
49534-6405
Phone Number
616-453-8277
Fax Number
616-453-2002
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002157 (Michigan)
Definition
Definition to come...
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