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Jordan Bergstrom, AU.D
NPI 1750941779 · on the registry since 2019
Practice
- Address
- 1753 Fulton St
Elkhart, IN 46514 - Phone
- (574) 293-9448
- Fax
- (574) 293-9480
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-30
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 Indiana