NPI 1174864508
Joseph John Bergstad, CPHT
Practice location
- Address
- 7560 160th St W, Lakeville, MN 55044-8348
- Phone
- (952) 891-1167
- Fax
- (952) 891-3337
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1174864508
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Mar 2013
- Record last updated
- 11 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.