Bergen, Richard Mark

Bergen, Richard Mark is an individual health care provider with primary practice located at 1000 1St Dr Nw , Austin MN 55912-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bergen, Richard Mark can be contacted via phone (507) 434-1092.

Contact Information

Primary practice address
1000 1St Dr Nw Austin MN 55912-2941
Phone: (507) 434-1092
Fax: (507) 434-1477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18330 Minnesota

Profile Details

NPI number 1215912852
LBN Legal business name Bergen, Richard Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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