NPI 1619953106

Blake a Bergeon, MD

Practitioner Physical Medicine & Rehabilitation Physician Midland, MI

Practice location

Address: 555 W Wackerly St #3825, Midland, MI 48640-4710
Phone: (989) 631-9267
Fax: (989) 839-0629

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4301061418 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1619953106
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2005
Record last updated: 13 Jul 2026

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.