Bergum, Russell Alan

Bergum, Russell Alan is an individual health care provider with primary practice located at 2560 2Nd St Sw Ste 120 , Rochester MN 55902-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bergum, Russell Alan can be contacted via phone (507) 361-0400.

Contact Information

Primary practice address
2560 2Nd St Sw Ste 120 Rochester MN 55902-4363
Phone: (507) 361-0400
Fax: (866) 371-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 42602 Minnesota

Profile Details

NPI number 1669400024
LBN Legal business name Bergum, Russell Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 16th, 2023 - about 2 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.

Request for update

Popular Providers