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Maximilien Bergman, DO
Student in an Organized Health Care Education/Training Program in Lakewood, Colorado
NPI 1588305817

Maximilien Bergman is a Student in an Organized Health Care Education/Training Program based in Lakewood, CO. Maximilien Bergman practices in Lakewood, CO and has the professional credentials of DO. The NPI Number for Maximilien Bergman is 1588305817 and holds a License No. TL0009220 (Colorado).

The current practice location address for Maximilien Bergman is 11600 W 2Nd Pl, Lakewood, CO and can be reached out via phone at 720-321-1708.

Location: 11600 W 2Nd Pl, Lakewood, CO, 80228-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588305817
Provider Name
Maximilien Bergman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11600 W 2Nd Pl, Lakewood, CO, 80228-1527
Phone Number
720-321-1708
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11600 W 2Nd Pl
City
Lakewood
State
Colorado
Zip
80228-1527
Phone Number
720-321-1708
Fax Number
person
Provider Business Mailing Address Details
Address
11600 W 2Nd Pl
City
Lakewood
State
Colorado
Zip
80228-1527
Phone Number
720-321-1708
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL0009220 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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