Jack M. Bergstein, M.D. Valid NPI

Individual provider · Surgery Physician · Marysville, WA

NPI

1154366300

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

MD60641501 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-06-19

Last updated

2018-03-17