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Gwendolyn Bergman
NPI 1265847958 · on the registry since 2014
Practice
- Address
- 117 E Broadway St Lot 49
Fort Recovery, OH 45846 - Phone
- (419) 953-1789
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio