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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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