person
Lance K Bergstrom, MD
Specialist in Fargo, North Dakota
NPI 1578509733

Lance K Bergstrom is a Specialist based in Fargo, ND. Lance K Bergstrom practices in Fargo, ND and has the professional credentials of MD. The NPI Number for Lance K Bergstrom is 1578509733 and holds a License No. 7230 (North Dakota).

The current practice location address for Lance K Bergstrom is 2601 University Dr S, Fargo, ND and can be reached out via phone at 701-235-5200 and via fax at 701-237-0927.

Location: 2601 University Dr S, Fargo, ND, 58103-6025
person
Provider Profile Details
NPI Number
1578509733
Provider Name
Lance K Bergstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2601 University Dr S, Fargo, ND, 58103-6025
Phone Number
701-235-5200
Fax Number
701-237-0927
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18672 05 ND
33A71BE 01 MN MN BCBS
080024400 05 MN
01068001 01 ND BCBS OF ND
12698 05 ND
33A70BE 01 MN MN BCBS
236454 01 ND ND BCBS
institution
Provider Business Practice Location Address Details
Address
2601 University Dr S
City
State
Zip
58103-6025
Phone Number
701-235-5200
Fax Number
701-237-0927
person
Provider Business Mailing Address Details
Address
2601 University Dr S
City
State
Zip
58103-6025
Phone Number
701-235-5200
Fax Number
701-237-0927
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
7230 (North Dakota)
Definition
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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