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Nicole Marie Bergman, PA-C
Medical Physician Assistant in Perrysburg, Ohio
NPI 1639468184

Nicole Marie Bergman is a Medical Physician Assistant based in Perrysburg, OH and is specialized in Medical. Nicole Marie Bergman practices in Perrysburg, OH and has the professional credentials of PA-C. The NPI Number for Nicole Marie Bergman is 1639468184 and holds a License No. 50.003246 (Ohio).

The current practice location address for Nicole Marie Bergman is 702 Commerce Dr, Perrysburg, OH and can be reached out via phone at 419-872-4673 and via fax at 419-873-8329. You can also correspond with Nicole Marie Bergman through the mailing address at 815 COMMERCE DR, PERRYSBURG, OH - 43551-5255 (mailing address contact number: 419-872-4673).

Location: 702 Commerce Dr, Perrysburg, OH, 43551-5255
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Provider Profile Details
NPI Number
1639468184
Provider Name
Nicole Marie Bergman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
702 Commerce Dr, Perrysburg, OH, 43551-5255
Phone Number
419-872-4673
Fax Number
419-873-8329
Provider Enumeration Date
04/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD1846 01 OH RAILROAD MEDICARE GROUP
9344881 01 OH MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
702 Commerce Dr
City
State
Zip
43551-5239
Phone Number
419-872-4673
Fax Number
419-873-8329
person
Provider Business Mailing Address Details
Address
702 Commerce Dr
City
State
Zip
43551-5239
Phone Number
419-872-4673
Fax Number
419-873-8329
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50.003246 (Ohio)
Definition
Definition to come...
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